Pravasi Welfare Scheme Applicant Data

Reference Number 766555

Name of Applicant A GOPAKUMAR

Registration Date 25/10/2022

Name of Father K APPUKUTTAN

Gender Male

Date of Birth 23/04/1965

Email ID

Marital Status Married

Religion Hindu

Educational Qualification ITI/ITC

Do You Have A Valid Identity Card Issued From Yes

NORKA, A Kerala Government Venture

NORKA ID Card Number 130112403

District Thiruvananthapuram

Taluk Thiruvananthapuram

Village Ullur

Permanent Address INDIRAVILASAM EDAVACODE SREEKARIYAM P O

TRIVANDRUM
Pincode:695017

Communication Address INDIRAVILASAM EDAVACODE SREEKARIYAM P O

TRIVANDRUM
Pincode:695017

Pravasi Category Non-Resident Keralites(Abroad)

Id type Passport

Id Number U0452680
 Expiry Date 01-02-2030

Passport Front Page and Address Page view passport link

Visa/iqama view Visaoriqama link

Other Id Type Aadhar

Other ID Number 299453942255

Other Id Expiry Date

Type Of Employment In Other Electrician

Country

Currently Working Country United Arab Emirates

Previous Employment Type (if

any)

Incase of Pre-employment ,
specify the job start date

Incase of new visa, specify date 2022-10-30

which you Decided to Go

Address in Foreign Country

Name Relation DOB Benefit Guardian

SUJANA D S Wife 1974-05-20 50%
GOKUL G S Son 1993-12-21 25%
RAHUL G S Son 1996-03-17 25%

I hereby declare that I am a Non Resident Keralite as per the provision contained in the Non Resident Keralties
Welfare Act, 2008 and I have read all the terms and conditions of the scheme and agrees to the same. I hereby
also declare that the information furnished by me is correct and complete to the best of my knowledge and
belief.

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