FORM 10C (See Rule 3) GOVERNMENT OF KERALA KALANJOOR VILLAGE OFFICE INCOME CERTIFICATE No, 45402991 Date; 22/01/2020 Certified that the Annual Family Income of the person with the details mentioned below from all source is ¥ 180000 (Rupees one lakh eighty thousand only ) Name of Person to whom certificate is isch EVIN GHIZ SHAJ Gender Male Age 7 ‘Name of Father SHAJI VARGHESE paces I MADAVANAPARAMPIL HOUSE, 89, MALLANKUZHA Post Office with Pin code KALANJOOR, 689694 Name of Localbody Kalanjoor Vilage Kalanjoor Taluk Koni District Pathanamthitta (Certificate Issued Date [2210172020 Designation of the Issuing officer (VILLAGE OFFICER “This certificate is tesued based on the details given in the application, local enquiry, facts and records produced and is valid only for 8 petid of one year fom the date of issue. ‘Security Code : 0UZ48 Signature valid Digitally signe JESHR Date: 2020.01 28:41:04 IST 4. This digitally signed documents legaty valid 2s per the information Technology (IT) Act, 2000. 2._Autherticty ofthis document can be verid from itp /iedistictkerla.govieV and submitng the Certfcate Number and ‘Security code, Allematvely, please call the numbers 185300(rom BSNL landline), 0471155300K(rom BSNL mabi), (0471233552304712115084904712115008(rom other networks} and quote the Cerificate Number tothe operator.