Form No.
5
(See Rule 8)
Government of Tamil Nadu
Municipal Administration & Water Supply Department
TAMBARAM CITY MUNICIPAL CORPORATION /
BIRTH CERTIFICATE -
(Issued Under Section 12/17 of the registration of Births and Deaths Act.1969 and Rule of 8 of Tamil Nadu Registration of Birth and Death Rules 2000)
This is to Certify that the following information has been taken from the original record of BIRTH which is in
the register for DIVISION-II of TAMBARAM CITY MUNICIPAL CORPORATION of Taluk TAMBARAM of District CHENGALPATTU
of State TAMIL NADU
02
Name / : KIRTHIKA SREE .M
Sex / : FEMALE
Date of Birth / : 13/Nov/2010
Place of Birth / : GOVT HOSPITAL TAMBARAM
G S T ROAD,CHROMPET
CHENNAI
600044
Name of Father / : P. MURUGAN
UID Number of Father / : XXXXXXXXXXXX
Name of Mother / : M. RAJESHWARI
UID Number of Mother/ : XXXXXXXXXXXX
Permanent Residential Address of the Parents / : NO.18,KARUMARIAMMAN KOIL STREET SABATHI NAGAR,
NAGALKENI
600044
Address of the Parents at the time of Birth of the Child / : NO.18,KARUMARIAMMAN KOIL STREET SABATHI NAGAR,
NAGALKENI
600044
Registration Number / : 007/2010/01/02872
Date of Registration / : 15/Nov/2010
Remarks(If any) / :
Date of Issue / : 17/Sep/2025
Signature and Address of Issuing Authority
Registrar, Birth & Death: TAMBARAM CITY MUNICIPAL CORPORATION
Ensure Registration Of Every Birth And Death
Certificate No : BCP/009/2025/0005946
Note:This Certificate is computer generated and does not require any seal/signature the authenticity of this certificate can be verified
https:// [Link] .The Registration number is unique to each Birth.