8/18/2021 eDistrict_Portal_Receipt_Page

Applicant General Details

Reg.No :  33939504
Appl.No :  64181084
Name :  IRINE P ANIL
Applied Date :  19-08-2021
Resubmitted / : _
Edited On
Certificate Type :  Nativity Certificate :  State Purpose
Purpose
To be produced :  General Date of Birth :  04-09-2003
before
Gender :  Female Age :  17
Present Address : 987, ANLEI VILLA, Permanent : 987, ANLEI VILLA,
NIRAPPIL JUNCTION, Address NIRAPPIL JUNCTION,
Vettikkavala(G), Vettikkavala(G),
PANAVELY, 691532, PANAVELY, 691532,
Vettikavala, Kottarakkara, Vettikavala, Kottarakkara,
Kollam Kollam
No. of years residing at present address : 9.0
Father's Name :  ANIL P K Religion and :  Christian, _
Caste of Father
Mother's Name :  NANCY ANIL Religion and :  Christian, _
Caste of Mother
Marital Status :  Married Spouse Name : _
Phone No. :  04742968991 Mobile No. :  9744459832
email :  nancyanil1@gmail.com
Ration Card No. :  1208161727 Driving Lic. No. :   _
Election ID : _ Passport No. : _
Card No.
UID : _ SSLC Reg No :  4312914
SSLC Year :  2019

Nativity Specific Details

 
District Taluk Village
Applicant's Birth Place Kollam Kottarakkara Vettikavala
Father's Birth Place Kollam Kottarakkara Vettikavala
Mother's Birth Place Kollam Kottarakkara Vettikavala

Declaration
Representative Name : IRINE P ANIL Relationship : Self

https://edistrict.kerala.gov.in/citizenPayment.do 1/1