FORM 13¢ GOVERNMENT OF KERALA, \VENGARA VILLAGE OFFICE CASTE CERTIFICATE No. 98419414 Date: 27/08/2021 Certified that the person with the details mentioned below belongs to the caste ‘mentioned below. Name of Person to whom certificate is MOHAMIREDYASEEN KE issued Gender Male Age 19 Name of Father MOHIYADHEEN Address KALLUPARAMBAN HOUSE, 438, KACHERIPPADI Religion [Islam Caste OBC! Mappila Post Office with Pin code KOORIVAD, 676306 ‘Name of Local body _ Vengara |Village Vengara ‘Taluk Tirurangadi District Malappuram Date of issue of Cerificate 27/08/2021 Designation ofthe issuing officer (VILLAGE OFFICER ‘This certificate fs issued based on the deals gven in he appicaton local enquiry, facts and records produced ands valid only fora peri of tee yoars fiom the date of eave Security Code : 3NGTX Signature valid Digitally signe IOD KS Date: 2021.08.2%45:51:28 IST 1. This cigtaly signed document is legal vali as per the Information Technology (IT) Act, 2000. 2. Authentic of this document can be verfed from pease erat. gov and submitting the Gertficate Number and ‘Security code. Atematvely lease call the numbers 185300(rom BSNL landline), 0471 88200(rom BSNL mobile) (04712895523/047121 15084047 12115086(rom ether networks) and quote the Cetiieate Number othe operator