Corrections In Birth Request Preview

Registration Unit
50024
ID * :
Registration Year *
Registration No * : 292 2003
:
Applicant Details
Application
UBC012301710792
Number :
Actual Child Changed Child
KORRAPATI NA
SurName : SurName :
Actual Child Changed Child
HARIIKA NA
Name : Name : *
Actual Date Of Changed Date Of
2/5/2003 12:00 AM 2/5/2002 12:00 AM
Birth : Birth :
Actual Gender: Female Changed Gender:
Actual Father Changed Father
PRABHAKARARAO NA
Name : Name :
Actual Father Changed Father
KORRAPATI NA
SurName : SurName :
Actual Mother VENKATA POOJYA Changed Mother
Name : LAKSHMI Name :
Actual Mother Changed Mother
KORRAPATI
SurName : SurName :
Changed Birth
Actual Birth Place : Hospital NA
Place :
Changed Location
NA
Name
Actual Line 1 of Changed Line 1 of
Address Of Birth NARASARAOPET Residential NA
Place Address
Actual Line 2 of Changed Line 2 of
Address Of Birth NA Residential NA .
Place Address.
Actual Line 3 of Changed Line 3 of
Address Of Birth NA Residential NA
Place Address.
Pincode.
Actual Line 1 of Changed Line 1 of
Address At The MATHUKUMALLI Address At The NA
Time Of Birth : Time Of Birth :
Actual Line 2 of Changed Line 2 of
Address At The NA Address At The NA
Time Of Birth : Time Of Birth :
Actual Line 3 of Changed Line 3 of
Address At The NA Address At The NA
Time Of Birth : Time Of Birth :
Actual Line 1 of Changed Line 1 of
Permanent MATHUKUMALLI Permanent NA
Address : Address :
Actual Line 2 of Changed Line 2 of
Permanent NA Permanent NA
Address : Address :
Actual Line 3 of Changed Line 3 of
Permanent NA Permanent NA
Address : Address :
Informant Details
KORRAPATI POOJYA Informant Relation:
Informant Name: * D/O
LAKSHMI *
Informant MATHUKUMALLI Informant MATHUKUMALLI
Address1: * VILLAGE Address2:* POST
Informant
MATHUKUMALLI Mobile No.:* 8106987543
Address3: *
Email ID: Remarks:
Pincode: Delivery Type *: Manual/In Person
Purpose Of the
STUDY PURPOSE No of copies *: 2
Certificate:*
Postal Details
Locality/Land
Door No*:
Mark *:
State*: District*: NA
Mandal *: NA Village/Ward* : NA
Pin Code: Documents
Uploaded
01~POOJA DOB CORRECTION.pdf