B54125379056495845/202

Zone 09 Division 114A

Name
Sex Female
Date of Birth 11-JUN-2021
Name of The Mother KASTHURI

Name of The Father MOHAN

Address of Parents at the time of NO.22, KATTAPOMMAN STREET, THIRUVALLUR, TAMIL NADU - 000000
Birth of The Child

Place of Birth GOVERNMENT KASTHURIBAI GANDHI WOMEN AND CHILDREN HOSPITAL

TRIPLICANE CHENNAI -600005

Permanent Address Of the Parents NO.22, KATTA POMMAN STREET, THIRUVALLUR, , , TAMIL NADU -000000

Registration Number B-2021:33-16452-002826

Date of Registration 14-JUN-2021
Remarks
Date of Issue 15-JUN-2021

Signature Not Verified

Digitally Signed by MOSES114A
Date: 15-Jun-2021 (18:15:09)

Registrar of Births & Deaths,

15-JUN-2021 Division :114A Zone : 09
Greater Chennai Corporation

The authenticity of this certificate can be verified at www.chennaicorporation.gov.in.

The Registration Number is unique to each birth. Ensure Registration of every Birth and Death