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This document is a birth certificate for Madathala Vedasri, a female born on October 15th, 2022 at the Shrikandula Obula Reddy Hospital in Markapuram, Andhra Pradesh, India. Her parents are Madathala Sreedhar Reddy and Madathala Anasuya, who resided in Nagireddypalli, Veligandla, Prakasam, Andhra Pradesh at the time of birth. The birth was registered on October 21st, 2022 with registration number B-2022: 28-90049-002514.

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102 views1 page

Adobe Scan Dec 21, 2023

This document is a birth certificate for Madathala Vedasri, a female born on October 15th, 2022 at the Shrikandula Obula Reddy Hospital in Markapuram, Andhra Pradesh, India. Her parents are Madathala Sreedhar Reddy and Madathala Anasuya, who resided in Nagireddypalli, Veligandla, Prakasam, Andhra Pradesh at the time of birth. The birth was registered on October 21st, 2022 with registration number B-2022: 28-90049-002514.

Uploaded by

mahesh.nannepagu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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NO.

1 GOVERNMENT OF ANDHRA PRADESH FORM 5

DEPARTMENT OF HEALTH,MEDICAL AND FAMILY WELFARE


MUNICIPALIIY MARKAPURAM

BIRTH CERTIFICATE

(ISSUED UNDER SECTION 12/17 OF THE REGISTRATION OF BIRTHS & DEATHS ACT, 1969 AND RULE 8/13 OF THE ANDHRA PRADESH
RFGISTRATION OF BIRTHS &DEATHS RULES 1999)

RECORD OF BIRTH WHICH IS THE REGISTER


THIS IS TO CERTIEY THAT THE FOLLOWING INFORMATION HAS BEEN TAKEN FROM THE ORIGINAL
STATE/UNION TERRITORY ANDHRA PRADESH,
MARKAPUR OF DISTRICT PRAKASAM OF
FOR MUNICIPALITY MARKAPURAM OF TAHSIL/BLOCK
INDIA.

wU/NAME: MADATHALA VEDASRI Ootw / SEX: 3 FEMALE

/ DATE OF BIRTH: e s eS PLACE OF BIRTH:


15-10-2022 SHRIKANDULA OBULA REDDY HOSPITAL
FIFTEENTH-0CTOBER-TWO THOUSAND TWENTY TWO
`O&JO / NAME OF FATHER:
/ NAME OF MOTHER: MADATHALA SREEDHAR REDDY
MADATHALA ANASUYA
esPQ so)s / FATHER'S AADHAAR NO:
eST5 SoD /MOTHER'S AADHAAR NO:
XXXXXXXX6043
XXXXXXXX1719
,ocbe aws, oJr3S GÁ/ PERMANENT
J os d Boew d á r |ADDRESS OF PARENTS AT THE TIME OF ADRESS OF PARENTS:
BIRTH OF THE CHILD:
NAGIREDDYPALLI, ANDHRA PRADESH- NAGIREDDYPALLI.
VELIGANDLA, NAGIREDDY PALLE,,VELIGANDLA, PRAKASAM. VELIGANDLA, NAGIREDDY PALLE, VELIGANDLA, PRAKASAM,
523223 ANDHRA PRADESH- 523223

dPao b /DATE OF REGISTRATION:


S a so /REGISTRATION NUMBER: 21-10-2022
B-2022: 28-90049-002514
J¯roáábe / REMARKS (IF ANY):

a JOá 9sOoso / ISSUING AUTHORITY:


8 3S BDATE OF JSSUE:
21-10-2022
REGISTRAR (BIRTH &DEATH)
MUNICIPALITY MARKAPURAM

UPDATED ON:
21-10-2022 00:00:00

SIGNATURE OF THE ISSUING AUTHORITY"


COMPUTER GENERATED CERTIFICATE WHICHCONTAINS FACSIMILE DATED 27-JULY-2015 HAS
"THIS IS A NO. 1/12/2014-VS(CRS)
"THE GOVT. OF INDIA VIDE CIRCULAR LEGAL DOCUMENT FOR ALL OFFICIAL PURPOSES"
VALID
APPROVED THIS CERTIFICATE AS A
BIRTH AND DEATH"
ENSURE REGISTRTION OF EVERY
D, Ö S)0o 21 Jresra dbot

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