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(FullAddress) ......................................................................................................................
................................................................. Village ..................................................... Taluk
............................................. District is permanently residing in the above village/address
and he/she* is a native of Andhra Pradesh.
(Office Seal)
Date:
Signature :
Tahasildar/Village Officer.
NATIVITY CERTIFICATE
Certified on enquiry that Shri/Smt .....................................................................................
(FullAddress) ......................................................................................................................
................................................................. Village ..................................................... Taluk
............................................. District is permanently residing in the above village/address
and he/she* is a native of Andhra Pradesh.
(Office Seal)
Date:
Signature :
Tahasildar/Village Officer.