Caste Certificate - CGC221209046660

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GOVERNMENT OF ANDHRA PRADESH

REVENUE DEPARTMENT

Application No

CGC221209046660
Date : 15/12/2022

COMMUNITY , NATIVITY & DATE OF BIRTH CERTIFICATE

1. This is to certify that the Sri/Srimathi/Kumari POOJARI MANI KUMAR S/o / D/o / M/o / F/o / W/o / H/o / C/o
Sri. P VENKATA RAMANA of SURAPPAKASAM village / Town of Renigunta Mandal of TIRUPATI District of the
State Andhra Pradesh belongs to Thogata (BC-B) 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 MANI KUMAR is a native of 1-139 Locality/Landmark of
SURAPPAKASAM village / Town of Renigunta Mandal of TIRUPATI District of the State Andhra Pradesh.

3. It is certified that the place of Birth Sri/Srimathi/Kumari POOJARI MANI KUMAR is of SURAPPAKASAM village
/ Town of Renigunta Mandal of TIRUPATI District of the State Andhra Pradesh.

4. It is certified that the Date of Birth Sri/Srimathi/Kumari POOJARI MANI KUMAR is 05 Day May Month 1992
Year (in words) Zero Five - May - One Nine Nine Two 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 : S Siva Prasad


Designation : Tahsildar
Mandal : Renigunta

Digitally Signed.
Name: SIVA PRASAD SIDDALA Page 1 of 1
Date: 15-Dec-2022 14:28:18
Reason: Approved

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