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GOVERNMENT OF ANDHRA PRADESH
REVENUE DEPARTMENT
Application No
RCGC250508037034
Date : 08/05/2025
COMMUNITY , NATIVITY & DATE OF BIRTH CERTIFICATE
1. This is to certify that the Sri/Srimathi/Kumari POOJARI YASODAMMA S/o / D/o / M/o / F/o / W/o / H/o / C/o Sri.
POOJARI RAGUNATHA of CHINNATHIPPASAMUDRAM village / Town of Madanapalle Mandal of Annamayya
District of the State Andhra Pradesh belongs to Odde (Oddilu, Vaddi, Vaddelu) (BC-A) Community / Caste which is
recognized as Backward Class under i) G.O.Ms NO.1793, Education, dt.23.09.1970 as amended from time to time.
2. It is certified that the Sri/Srimathi/Kumari POOJARI YASODAMMA is a native of 14_67 Locality/Landmark of
CHINNATHIPPASAMUDRAM village / Town of Madanapalle Mandal of Annamayya District of the State Andhra
Pradesh.
3. It is certified that the place of Birth Sri/Srimathi/Kumari POOJARI YASODAMMA is of
CHINNATHIPPASAMUDRAM village / Town of Madanapalle Mandal of Annamayya District of the State Andhra
Pradesh.
4. It is certified that the Date of Birth Sri/Srimathi/Kumari POOJARI YASODAMMA is 01 Day January Month
1991 Year (in words) Zero One - January - One Nine Nine One 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 : K DHANAMJAYULU
Designation : Tahsildar
Mandal : Madanapalle
Verified By K KHAJABI
Designation: Tahsildar
Verified On: 19/12/2024
As per G.O.Ms.No.58 Social Welfare(J), 12th May, 1997, this certificate is valid permanently.
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