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Number Receipt
 goV.in/eservicesnew/land/chittaExtractUrban Taluk en.htm

CERTIFICATE
EXTRACT FROM THE TOWN SURVEY LAND
REGITER
District: Tiruvallur Taluk: Avadi Town : Avadi Ward: 022 Thandurai (Ward : E)
Block
Code
Number Source Class Rate per
and Dry, Wet, If Double Extent By Town
s.No 0.Sur No and Municipal Govt,Mitta, Unassessed,| Of and Acre/ Assesment
How
Name Crop, Rate Survey
Of Sur. jSub
Letter Door No.Zamindari,Inam Promboke, Irrigation of
Sort Taraml Hectare Municipal Adangal (UDS the

JLocalityFieldDiv. House-site
and
Composition
of
Sq.
Register Details) holdingRemarks
Class soil Rs. PaiseHectareAres Meter MunicipaGovt.
Block :| utilised
1
0043- 151| 0 286/7A1,7A2,7B,
7CPT - Ly(GH 60)8E G6N6iT60)6TUIGÖS
8-2 6 0.00 3 40.0 1.85 LOB6ÖT
l6L0T6O 6TLI6ÖT O 062:2017
Certified that the above is a true extract from the Town Survey Land Register
Taluk. maintained in the
LÓlsöT 60)5umÜUo/Digital Signature 0612220 72
QLug / Name VijayalakshmkvS
2.
ugal / Desighatign : T-hs a
QLO/Place : 6u4 LO /Avadi, GueiTGI5J LOTauL/Avallura TbÜT..

GplÜy/Remarks :
uabo
1. lein)ssT L 55/6U / sT6TÝl5Þ 556U 6l6gi5 60T LÓlGOT 2024
laos0TW561666 URB/01/12/001/005/0043/151/0USGJLq6bloBSI GUMæULL606J. Qi60)D 5TIIB0T https://eservices.tn.gov.in s(6oT
T6ÞT |D GDlÜy 6T6oOT6U) GUOT 2_6iT6ffG GsÜgI 2_m
The above information/certificate details are generated from GsusIQsrG0TSTTO LD.
Digital records. This can be verified at the eServices portal https:/leservices.tn.goy.inby
|giving the reference number URB/01/12/001/005/o043/151/o
a 55eJGJBS0T 26-03-2024 96ÜT 02:54:16 PM G5JSl6u ÉFg s5ULLB.
2
The cetificate was printed on 26-03-2024 at 02:54:16 PM
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 ulgovo Teu 6
Form No. 6

GOVERNMENT OF TAMIL NADU

DEPARTMENT OF MUNICIPAL ADMINISTRATION AND WATER SUPPLY

AVADI CORPORATION

9pÜyFr6iT5p / DEATHCERTIFICATE
(pÙy oDgIo pny ugla sLLD, 1969cår ay 12/17 oDgo gblýsrQ Llpùy Qpiy usa alsir 2000 alg reisr. &/13
Qár
(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969
REGISTRATION OF BIRTH AND DEATH RULES 2000.) AND RULE 8/13 OF THE TAMIL NADU

THIS IS TO CERTIFY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF DEATH WHICH IS THE
REGISTER FORAVADI CORPORATION DIVISION 5 OF AVADI TALUK OF THIRUVALLUR DISTRICT OF TAMIL NADU TATE, INDIA,

NAME OF DECEASED /QDB5uflsiT uwt: SEX/urlaTD :MALE / , isT

VELLAIYAN.V
UID NUMBER OF DECEASED Ipi6uflsor ET0 6T6oT :
DATE OF DEATH/ 5 Gs:07/04/202 PLACE OF DEATH/pBs 9LÚ:
SEVEN - APRIL-TWO THoUsAND TWENTY ONE NO,94, 2ND MAIN RO¢D, GOPALAPURAM PATTABIRAM -600072
-600072
AGE OF DECEASED /pbsufiT QJuS): 80 YEARS

NAME OF MOTHER/grulit Guwi:

PULLIYAMMA.V

FATHER NAME /s6ngliT luwt:

VELLAIYAN MOTHER'S UID NUMBER l5rulir A5T0 6TET :
FATHER'S UID N0. Isi60SulsoT L5Td TE80T
HUSBAND / WIFE NAME /5TOS0/ wOTN QUwi: HUSBAND /WIFE UID NO. la16U t/ woTO 5rt 6TGT
SUSILA.V

ADDRESS OF THE DECEASED AT THE TIME OF DEATH/ PERMANENT ADDRESS OF DECEASED /

Apulor Gurgi oBsuflcir (psaufl:
NO, 94, 2ND MAIN ROAD, PATTABIRAM, GOPALAPURAM NO, 94, 2ND MAIN ROAD, PATTABIRAM, GOPALAPURAM
PATTABIRAM , AVADI, THIRUVALLUR, TAMIL NADr - 600072 PATTABIRAM, , AVADI, THIRUVALLUR,TAMIL NADU -600072

NO,94, ,ULLGrO .Gwirasi ,blpsr -600072 NO,94, , uLlrD ,Gvcrasi 5tbpsr-600072

DATE OF REGISTRATION /Ulsy sus G5:07/05/2021

REGISTRATION NUMBER /Lugla sTT :
D-2021:33-18883-000080 Signature yalid
Digitally Signed by S.PRAKA
REMARKS (F ANY) I5iny : Date: 07-May-202J( 17:23:)

DATE OF ISSUE / auyra1lus rir :07/05/22

ISSUING AUTHORITYsrTsp yaflüusd

KTE-54.
REGISTRAR (BIRTH &DEATH)
ularaTt (lgoy &Qpoy)
THISs IS ACOMPÚTER GENERTÉDeEICATE AVÁDICORPORATIÎN DIVSIOG 5
THE GOVTOF INDIA VIDE CIRCULAR NO.1/ioNsCRS) DATED 27 JULY-2015HAS UR oB6rl Ultla 5
APPROVED THIS CERTIFICATE AS AVALID LEGAL DOCUMENT FOR ALL OFFICIAL PUREÖsES
THE REGISTRATION NUMBER IS UNIQUE TO EACH EVENT:

DIsisltilENSÜRE REGISTRATIONOF EVERYBIRTH AND DEATH"

C54012950992877534/2021 616001 6T6001
2024 uBD 616001...
Sus esle
 AVADI MUNICIPALITY
(FÖRM NO.9.)
(Sce Rule 9 )
GOVERNMENT-OF TAMIL NADU
DEPARTMENT OF PUBLIC HEALTH

CERTEICATE OF DEATIH
Certificste of DeatLssued Jnder Sectlon 17 of the
RsbuatJador;Section 12 Registrationof
Birth and Death Act, 1969.
information has:been taken Erom the. original
This is to Certify that the foll:wing
.:

the year 99Kf Avadi Municipality

record óf Death which is in the Register far
of 'State of Tamil Nadu .
of Chengalpattu. M. G. R, District
1.

2.
Name

Sex
lamgovaa
3. Date of Death
9 494
4. Date of Registration
aT:g5
SRegistratien No

8. PlacGe of Death Gto palapu re

Neme of Father & Husband
Vellaiamn
162260

8. Nationalitý No 37:Gionad
Katabiom pala
2024isuk.
-kySigiaturo ö 1ssuiDg Huthority
`ea! REGISTBAR: OF BIRTHS E
MAORAS-B00.
regardingthe cause
Note esa 5 ceath .no -disclorure shell be madé. of particulars
oD eiteräd in the. Rogiator.
 Legal Heir Certificate

srsorlsp sr6oT /Certificate No: TN-7202 10908820 GT6T Date: 23-09-202I

554 sr6OT 94, 215) oulor BgmG GesTLITGOLYTL , ssooTGlog lyTLDLD / 58TD,

Glast0STIsiT 6TsiTLIQI0 07-04-2021 G ytnI QpBsrarT. GoLIG oHs SUG`G

This is to certify thatVellaiyan son of vellaiyan who was residing at Door No. 94, 2nd main
road gopalapuram Thandurai Village/Town of Avadi Taluk of Tiruvallur, TamilNadu State expired on
07-04-2021 leaving behind thefollowing persons as surviving legal heirs.
QLuD . Name
SLNo Relaionship for deceased Marital Status
Susila 72 Wife *Widow
2 Meeniakshi 46 Dàughter Married
Predeceased Legal Heirs
SLNo
Gu Name auSI Age
Relationship for deceased Maiai Status
1 ELANGOVAN 19 Son Unmarried

1) iraD! DSy0 s i s yAN`seT LsG`Seit, gn sS9L ÍG nprasæuGlng/ This certificate is based on the
documents / particulars farnished by the applicant

GurnuRO! The Conpetent Certiicate issuing aathority is not responsible for any malafide information sabmitted
by appicant.

Signature valid
Digitally signed by&AJINIKANTH
LoTARL /District : Truvalhr Date: 23/09/2021 ON2:07 |IST
L /Tak : Avadi

SgÜY / Remarks: LSSenDesignation : aLLAuug /Tahsildar

This certificate is digitally signed and does not require any seal or signature.

c) TN-720210908820 rsTD SaftiLL oroTlo rsiTeneRT https1//tnedistrict.tn,gov.

in/tneda/VerifyCerti.zhtml oo eirarft lsigI fLTgBajo.

(a) aißuA GsDgrlsit 2D barcode Ltq.LLIrGT Lpsoù QnsorserAo efurgåsab,

Genuineness of the certificate çan be verified by.

(a) Keying in the unique certificate number TN-720210908820 in the URL https://tnedistrict.tn.
gov.in/tneda/VerifyCerti. xhtmi.
(or)
(b) Reading the 2D barcode with mobife barcode reader and
verify through online.

2024 usb IGÖTI..8..... Seseole

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(Details from UIDAI : Susila V W/O: Vellaiyan, 1949,

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Addtess
WIO vetatyan 9431 ZND MAN QnGAHJESTFemale
ROAD AIAPURAM
Patabrarn, Patabram, Tinuvalkur
Poonanaliee, Tail Nadu
690012

8908 4890 4950

8908 4890 4950

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 Government of lhdia
UTY Sj60J56001600)
BABUDURAIKANNU Unique. ldentification Authority of India
(pGo s/o: jGOJi 6.GòN DO) 3
Address: S/O Duraikkannu,
3, 2ND CROSS 4TH MAIN
GotUTygb uLLMÜrmn LI=.LTMgmD ROAD, GOPALAPURAM
LNghs pnDOB: 29/01/1973 PATTABIRAM, Pattabiram,
Pattabiram, Tiruvallur, Tamil
unÓ Male 600072
Nadu, 600072

4159 5857 7792

4159 5857 7792
1947 Www.
1800 300 1947 help @uldal.gov.in Www.uidai.gov.in

Goveronegtondae Unque T eatileatoAtoity oftndia

psaufl:
Praveen Desny R S/O grgGssqci g, 29, Qoulca GgnG.
Spbs 5TGT/DOB: 08/08/1991 s l BTG - 600671
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Address:
S/O Rajasekaran J, 29, Main Road, Sekkadu,
Kamarajnagar, Tíruvallur,
Tamil Nadu -600071

6579 8194 6892

VID:9149 9493 1331 5229 6579 8194 6892
LwT6T LÒ VID: 9149 9493 1331 5229
6T60TSI 9,5T0, 6T6UT5J www
hetoeuide,gov.in

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Pattabiram, Tamil Nadu, India
25, East Gopalapuram, Pattabiram, Tamil Nadu 600072, India
Lat 13.117224
Long 80.073167°
27/03/24 02:44 PM GMT +05:30

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