MENTO
AGOV
mee seva
easier,faster 6GOVERIENT CFELANGAN
NENTOs TELANGANADO
CANA GO
GOVERNMENT OF TELANGANA
ENT O REVENUE DEPARTMENT SVSAA 24418787
VERNENE OFELANA
ANGANA GOVERNE
FORMIII AGo
Community Serial No : 17 ANGANA GOVERAINENT O Application No TEANGANA
ANGANE GOVERNENTCF 1ELANGA
BC ENTO FTELANGANA
District Code :05 ERhEO TELANGAN
BOUERMandalCode : 02 NENTOF CNDO2 1814038387 TELANGNA
TELANGANN
OVERIEr Village Code : 002 Date : 05/08/2018LANOANA
OVEHMENT C GANA QOvERNMENOFTELNCANA
GOVERNMENTOE IEUANA VEHNMENEOH ELANGANA
COMMUNITY AND DATE OF BIRTH CERTIFICATE NENTOF TELANGANA
NMENT COF THLANGAN
ENTOE TELAOANA
NTDELANGANA
[Link] is to certify that the Sri/Srimathi/Kumarí BOGA SAIKRISHNA S/o/D/o M/o /F/o/ W/o / H/o /
C/o Sri. BOGA SUDHAKAR Of Kothapalli(Haveli) village / Town of KARIMNAGAR (Rural-) Mandal of
KARIMNAGAR_ District of the Telangana State belongs to Padmasali-1Z(BCB) Community which is
recognízed as B.C under:
The Constitutuion (Scheduled Castes) Order, 1950
The Constitutuion (Scheduled Tribes) Order,1950
[Link]. No. 1793,Education,dated 25-9-1970 as amended from time to time (BCs) [Link].,S. Ts. list
(Modification) Order, 1956,[Link] and S.T.s(Amendment) Act, 1976.
[Link] is certified that the date of birth Sri/Srimath/Kumari B0GA SAIKRISHNA is day 19 Month JANUARY
Year 199s (in words) Qne Nine- JANUARY- One Nine Nine Five as per the decdaration given by his/her
Father/Mother/ Guardian and as entered in the School records where he/she studied.
Certified By
Narme: [Link] RAO
Designation : TAHSILDAR
Mandal : KARIMNAGAR (Rura-I)
Note : This is Digtaly Signed Certicate, does not equire physical signature. And this certfcate can be verfied at
[Link] by fumishing the applcation oumber mertioned n the Certficate.
MEESEVA MEE SEVA