NO.
1 GOVERNMENT OF ANDHRA PRADESH FOR-5
DEPARTMENT OF HEALTH, MEDICAL AND FAMILY WELFARE
MUNICIPALITY RAYACHOTI
BIRIH CERTIF0CATE
ISSUED UNDER SECTION 12/17 OF THE REGI`TRATION OF BIRTHS &DEATHS ACT, 1969 AND RULE 8/13 OF THE ANDHR PRADESH REGISTRATIGN
OF BIRTHS & DEATHS RULES 1299
THIS IS TO CERTIy HA THE FOLLOWING TNFORMATION HAS BEEN TAKEN FROM THE ORIGINAL RECORD OF BIRTHWHICH IS THE REGISTER
FOR MUNICIPALIIATACHO OF TAHSIL BLOCK RAYACHOTI OF DISTRICT ANNAMAYYA OF STATE/UNION TERRITORY ANDHRA PRADESH, INDIA.
t NAVE: EDAGOTTU MOHITH Sosá / SEX: áss MALE
e DATE OF BIRTH: e ó K e s / PLACE OF BIRTH:
08-11-2023 AMARAVATHI HOSPITAL
EIGHTH-NOVEMBER-TWO THOUSAND TWENTY THREE
t NÀME OF MOTHER: S o o / NAME OF ATHER:
EDAGOTTU YALLAMMA EDAGOTTUVISWANADHA
eS5 doNs FATHER'S AADHAAR NO:
es6 5o) MOTHER's AADHAAR NO: XXXXXXXX3437
XXXXXXXX1119
ADDRESS OFPARENTS AT THE TIME OF s e s o a e aws, s daG PERMANENT
J K :
BIRT:H OF THE CEILD ADDRE`S OF PARENTS:
13/42, CHAGLLAGLIA
KASTHURAJU GARI PALL:FALL
KRNOOTHALA,, LAKKIREDDIPALLE, ANNAMAYYA, 13/42, CHAGULAGUTTA PALLI,
KASTHURAJUGARI PALLI, KURNOOTHALA, LAKKIREDDIPALLE,
ANDHRA PRADESH- 31625
ANNAMAYYA,
ANDHRA PRADESH- 516257
S s T B/DATE OF REGISTRATION:
S So,s /REGISTRAIION NLMBER:
15-11-2023
B-2023: 28-90062-003549
JIroáábe0/ REMARKS (IF ANY):
b ¿IS S s Sod`o / ISSUING AUTHORIIY
SÍ B /DATE OF ISSUE:
23-04-2024
REGISTRAR (8IRTH &DEATH)
ILNICIPAI TY RANACHI!
LPDATED ON:
-04-2024 15:23.3
SIGNATURE OF THE SSUING AUTHORITY"
"THIS IS A COMPUTER GENERATED CERTIFICATE WHICH CONTAINS FACSIMILE
" THE GOVT. OF INDIA VIDE CIRCULAR NO. 1/12/2014-VS(CRS) DATED 27-IY-201S HAS
APPROVED THIS CERTIFICATE AS A VALID LEGAL DOCUMENT FORALL OFF1CIAL PCRPOSES".
"á&0, ó Saá s)so 21 BeE S P )wb ENS RE KEGISTRITION OF EVERY BIRTILND D.ATII"
IAIINAIANA
