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
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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.
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