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Adobe Scan 09-Mar-2023

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24 views1 page

Adobe Scan 09-Mar-2023

Uploaded by

premashre14
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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Government of Tamil Nadu


Form No. 5 ty6unn5
(Soe Rule 8 B p i u i hn) 3369
Department of Municipal Administration & Water Supply

BIRTH CERTIFICATE (TRANSLATED VERSION)


19mini vrarnlnip
(Assued Under Secton 12/17of the Regstauon of Buth and Deaths Act. 1969and
Rule 8 of Taml Nadu Registraton of Births and Dcath» Rules 2000) 1A

This is to Certify that the following information has been


taken from the original record of BIRTH which is in the reglster for
(local area) PUDUKKOTTAI M UNICIPALITY of Taluk PUDUKKOTTAI of
District PUDUKKOTTAI of State TAMIL NADU.

&ýdacL 8haoavaoit hulpmuB wnavuLygjbtkesa san. wnoi.Lu, L45yhtleamam auLL

Name / Guum MAIHENDRAN

Sex unoulomu MALE


Date.of Birth pbs Gs6 30/06/1998

Place of Birth I ipibs LD 1VERNMENT HEAD QUARTERS


MATERNITYWING
ORTH 2ND STREET,

Name of Father 6hmgulGmJun ARUMUGAM

Name of Mother gull Gaun PUSHPAVALLI

Permanent ResidentialAddress ofthe Parents

Registratioa No. I ußaj u 3149/1998/03

01/07/1998
Date of Registration I uay Geuig s

Date C 16/06/2008

Signature of issuing authority


Office Seal / a n a s pppn o o y aeflúuurl ir ama Qurius

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