GOVERNMENT OF ANDHRA PRADESH
REVENUE DEPARTMENT
Application No
CGC240711075634
Date : 15/07/2024
COMMUNITY , NATIVITY & DATE OF BIRTH CERTIFICATE
1. This is to certify that the Sri/Srimathi/Kumari KOMMANA MARY SUSANNA S/o / D/o / M/o / F/o / W/o / H/o / C/o
Sri. KOMMANA CHINA MAHA NAGESWARARAO of TANUKU village / Town of Tanuku Mandal of WEST
GODAVARI District of the State Andhra Pradesh belongs to Kapu (OC) Community / Caste .
2. It is certified that the Sri/Srimathi/Kumari ********** is a native of ********** Locality/Landmark of
********** village / Town of ********** Mandal of ********** District of the State Andhra Pradesh.
3. It is certified that the place of Birth Sri/Srimathi/Kumari ********** is of ********** village / Town
of ********** Mandal of ********** District of the State Andhra Pradesh.
4. It is certified that the Date of Birth Sri/Srimathi/Kumari ********** is ********** Day ********** Month
********** Year (in words) ********** as per the declaration given by his/her Father/Mother/Guardian and as
entered in the School records where he/she studied.
Certified By
Name : B M MUKTESWARARAO
Designation : Tahsildar
Mandal : Mandal : Tanuku
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