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 Purpose :  State Purpose
To be produced before  General: Date of Birth :  04-09-2003
Gender  Female : Age :  17
Present Address :
987, ANLEI VILLA, NIRAPPIL Permanent Address : 987, ANLEI VILLA, NIRAPPIL
JUNCTION, Vettikkavala(G), JUNCTION, Vettikkavala(G),
PANAVELY, 691532, Vettikavala, PANAVELY, 691532, Vettikavala,
Kottarakkara, Kollam Kottarakkara, Kollam
No. of years residing at present address : 9.0
Father's Name :  ANIL P K Religion and Caste of :  Christian, _
Father
Mother's Name :  NANCY ANIL Religion and Caste of :  Christian, _
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 Card No. :  _ Passport No. :  _
UID :  _ SSLC Reg No :  4312914
SSLC Year :  2019

Nativity Specific Details

 
District Taluk Village

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8/18/2021 eDistrict_Portal_Receipt_Page
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

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