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This document is a family member certificate from the government of Andhra Pradesh. It certifies the family members of a deceased person named ATLURI NIRMALA, listing her two daughters Bobba Saradamba and Uppalapati Bala Saraswathi as family members along with their details. The certificate is signed by the Tahsildar of Vemula Mandal, G. Chinnaiah.

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0% found this document useful (0 votes)
910 views2 pages

Final

This document is a family member certificate from the government of Andhra Pradesh. It certifies the family members of a deceased person named ATLURI NIRMALA, listing her two daughters Bobba Saradamba and Uppalapati Bala Saraswathi as family members along with their details. The certificate is signed by the Tahsildar of Vemula Mandal, G. Chinnaiah.

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tumkurswetha
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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5/29/24, 12:25 PM Family Member Certificate

GOVERNMENT OF ANDHRA
PRADESH REVENUE
DEPARTMENT
Application No

FAMC01190192999
Date: 18/11/2023

Family Member Certificate


(As per G.O.Ms.No.145, Revenue(Ser.II) Department, Dated
25.04.2015) (As per G.O.Ms.No.237, Revenue(Ser.II) Department,
Dated 30.06.2015) (As per G.O.Ms.No.177, Revenue(Ser.II)
Department, Dated 29.04.2016) (As per G.O.Ms.No.200,
Revenue(Ser.II) Department, Dated 12.06.2017)

This is to certify that Late Sri/Srimathi/Kumari ATLURI NIRMALA S/o /D/o /W/o

/F/o /M/o /G/o of Sri/Srimathi/Master/Kumari A Sri Hari Rao of 15-137, Prabhu Nagar, Poranki
and Penamaluru (Village & Mandal), Krishna (District) (Aadhaar No/Aadhaar Enrolment No) ******* who
died on 11/10/2023 (As per death certificate enclosed) has the following Family Members.

Name of the Relationship with Proof Of Identity


S.No Age (Years) Marital Status
Family Member deceased Document No
XXXX-
1 Bobba Saradamba Daughter 52 Married AadharNo XXXX-
00
Uppalapati Bala XXXX-
2 Daughter 51 Married AadharNo XXXX-
Saraswathi
33

https://gsws-meeseva3.ap.gov.in/APSDCDeptPortal/UserInterface/Certificates/FamilyMembership_Cert510.aspx??enc=0TCXuphtoJSjSq667u+e… 1
5/29/24, 12:25 PM Family Member Certificate

Certified By
TO,
Vennapusa Ramulamma
1/09, Mabbu chintalapalli, VELPULA
Name : G. Chinnaiah
Vemula
Designation : TAHSILDAR
Mandal : Vemula

Note :

1. This is a Family Member Certificate and not a legal heir certificate.


2. This Certificate is based on the affidavit produced by the applicant. If the contents of the application are found to
be false, prosecution shall be launched against the applicant.

https://gsws-meeseva3.ap.gov.in/APSDCDeptPortal/UserInterface/Certificates/FamilyMembership_Cert510.aspx??enc=0TCXuphtoJSjSq667u+e… 2

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