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GOVERNMENT OF TAMIL I{ADU
itssuED UNDER SECTTON',12117 OF THE REGTSTEATTON OF BTRTHS & DEATHS ACT, 1969 AND RULE E/13 OF THE TAMTL NADU
REGISTRATION OF BIRTH AND DEATH RULES 2OOO.)
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THIS IS TO CERTIFY THAT THE FOLLOW|NG INFORMATION HAS BEEN TAXEN FROM THE ORIGINAL RECORD OF BIRTH WHICH IS THE
REGISTER FOR GOW.HEAD QTS, HOSPITAL OF ERODE TALUK OF ERODE DISTRICT OF TAITIIL NADU STATE, INOIA,
MOTHER'S UID NUMBER / gnu5lan gggnq Gr6rrn FATHER'S UtD NUMBER / g,firurgu5ler ;ggng 616?,07
ADDRESS OF PARENTS AT THE TIME OF BIRTH OF THE CHILD / PERMANENT ADDRESS OF PARENTS I
tgplbaog rJlgur.llar Gungl Gtu$Ggrnflor goeerrfl : Glu$cpnflor fl1b5g sosarfl :
350, PALANI ILLAIT',POONDURAI ROAO, RAILWAY COLONY, ERODE, 350, PALANI ILLAM,POONDURAI ROAD, RAILWAY COLONY,
ERODE, TAMIL NADU ,638002 EROOE, ERODE, TAMIL NADU - 638002
350, uytofl S1euarfi, 156$orp Grln$l , r;ugeirGeu sna.lofl , 350, uglofl O6fuolrh, iSlii5Jcr,D efn$r, fu$eueor err6\r5ufl,
tcryrGt, n Gryn$1 , Odlpf n6t - 638002 ncrrGl , mGrTn@, SrdlFgn6t -63s002
REGtSTRATtoN NUMBER / u$)q erarr DATE OF REGISTRATION I u6la] Gl&u]5 G58 :18106/2021
B-2021 : 33-1 6001 401257
rDfbgu'.b €lpt!-l u$to1 Cr*d.rororg e-grt$l ENSURE REGISTRATION OF EVERY BIRTH AND DEAiTH"