GOVERNMENT OF KERALA KOORKANCHER( VILLAGE OFFICE INCOME CERTIFICATE No, 58184840 Date: 19/08/2021 Certified that the Annual Femily Income of the person with the details mentioned below from all source is 7 180000 (Rupees one lakh eighty thousand only ) ame of Person to whom certificate is ADHITHYA KRISHNA A S Gender Male Age 7 Name of Father SASIDHARAN A K Address AYNIPULLY HOUSE, 41/315, KOORKKENCHERY Post Oifice with Pin code KOORKKENCHERY, 680007 Name of Localbody Thrissur Village Koorkancheri Taluk Thrissur District “Thrissur Certificate Issued Date 19/08/2021 Designation of the issuing officer Village Officer “This certificate is issued based on the detals given inthe application, local enquiry, facts and records produced andis valid only fora poriad of one year fram tha date of issue. Security Code : 2L3A8 Signature valid Digitally signed, IDHU DAVIS Date: 2027.08.79 43:33:52 IST nore: 1, This digitally signed decument is logally vatd as por the Information Technology (IT) Act, 2000. 2. Aulhenticty of this document can be verified from hilp:fecistict. kerala gov.in/ and submiting the Certificate Number and Security cade. Altematively, please call the numbars 165300((om BSNL landine), 0471155300{(rom BSNL mobile), (047 123365237047 121 15094/047 121 15096((rom other networks) and quate the Certificate Number to the operator,GOVERNMENT OF KERALA KOORKANCHER! VILLAGE OFFICE CASTE CERTIFICATE Date: 13/08/2024 No, 7946348 Certified thal the person with the details mentioned below belongs lo the caste mentioned below, Name of Person to whom cerlificate is issued ADHITHYA KRISHNA A S Gender Male Age ” Name of Father SASIDHARAN A K Address AYNIPULLY HOUSE, 41/315, KOORKKENCHERY Religion Hindu ‘Caste OBC) EZHAVA Post Office with Pin code ~| KOORKKENCHERY, 680007 Name of Local body Thrissur Vilage Koorkancheri Taluk Thrissur” District Thrissur Date of Issue of Certificate 13/08/2021 Designation of the issuing officer Village Officer ‘This certificate is issued based on the datails given In tho application, local enquiry, Facts end racords produced ends valid only fora period of three years from the deta of issue, Security Code : US634 Signature valid Digitally signe INDHU DAVIS Date: 2021.08.7 45:43 IST 1. This dlgtaty signed documents legally valid as per the Information Technology (IT) Act, 2000. 2 Auticlty ofthis document can be verified ‘rom hips kerala. gov. end submiting the Certifeate Number and - Secutty code, Atematively, please cal ho numbers 156900(Kam BSN. landline}, 0471166400(rom BSNL mobile), ‘oar 123055231047 121 150841047121 15088(Irom other valworks) and quota the Cortiicale Number tothe operator.FORM 5 (See Rules) GOVERNMENT OF KERALA KOORKANGHERI VILLAGE OFFICE NATIVITY CERTIFICAT No. 9827 827 1008 Date: -2anosizozt Corttied tat tha parson wth the detalls mantioned below is a native of Kerala State, Name of Person fo whrncartcal is nae ADHITIVA KRISHNA S Sender il Age. ° 47 ‘Neme of Father [SASIDHARAN AK acdiess rbuLty Rouse, 418, KOORKKENCHERY [Pos Oia wath Pn code ROO RUENCHERY, 65007 \ Name of Lecalbody Thee | viage Keertanched Biase arnt Taluk Thrissur . Distiet hes " | iste ioral | Dal of seus of Gerfata paeraian | Designalion of the issuing officer Village Officer ° “This corals is igsued Based crt dots given nthe application, ol angus facts and rend prodeoed and is vt fartfelora Security Code : 4UU20 Signature velid Digitally signed, INDHU DAVIS. Date: 2024.08 2:17 IST ssmentls Fogel valid‘ per the Infomation Tachnology {T} Act, 2000. let kata gov In and subniting the Carlicala Nuwber ane NL landing), O471 185300 (tom BSNL mobile), the Cericate Number tothe operator. 41 Tis egal sed doo 2, Authertley of hie dacument eau be vere from hitpvocs Secu cave, Asmatively, please cll Ihe pumbars ¥65900{rom Ee) ua 12985870/087 2415004047 121150904 hom ler netmarks} and duckscaog wierd GOVERNMENT OF KERALA naan /11POR20S osaial pene ‘OF PANCHAYATS/URBAN AFFAIRS cutgclangs mga? eqemoonrnoniog, ois 48 cantor ame of local Body issuing certiicate THRISSUR CORPORATION t , gon avdslaclaog ' BIRTH CERTIFICATE reodf-voan esfaiasaxt omsioas 7 SNR woes cow sacne-20610 ved asgesogoc: #/13-00 21500 ‘exxjcr08a CABS tion aoa Acts, 1969 and Rule ‘Section 17 of the Registra! of Births and fe Hprens and Deaths Rules, 1999) (Issuec wag te xeqel® Registrat aniapnomt ene svramamces yigye srgsicet m4igie SOPUASSE’ i Cevsqunucna.iio) SARE 5 osiky OK cK eno} enemies A Mp ne following information Nes weep the anginal ese \e birt which is ister for (local area/'ocal (5 STNRTSSUR 1 CORPORATION Sank arlaaur of gti Mreaaur oF State Kerala PageGOVERNMENT OF KERALA KOORKANCHERI VILLAGE OFFICE INCOME CERTIFICATE No. SB184840 Date: 19/08/2021 Corie that the Annual Family income of the person with the detalis mentioned below Irom all source is F 180000 (Rupees one lakh cighty thousand only } Name of Person to.shom cartfieata is DET WARROENRAR issued [Gender [Male lage 7 1 Name of Father SASIDHARAN AK 1 Y lacdress AYNIPULLY HOUSE, 44/045, KOORKKENCHERY | i Pos! Office wih Pin cade KOORKKENCHERY, 680007 Name of Losalbody _ | Thrissur - Nitlage Kooreancheri Fraauk "Thrissur , District Thrissur i (Cerificate Issued Date [reroere021 Designation of the Issuing officer ‘village Offieae ‘This cavieae ie *s9ued based on the delat glvanin the application local enquiry, iets and records prodsed ends val only fora pertad ofona year fron the deto of Issue, Security Code: 2348 Signature valid Digitally signe: RIDHU DAVIS Date: 2027.8. 352 LST nares 1, Thi egal signee! doevivanl 2 leg aly voll 9s per a informa‘ion Tachsplegy-IIT)Act, 2000. 2. AuLtartiily ofthis documant wan be vertieg fiom hnlp Hediste korata you. in! ana submiing he Carificile Ruraber end Saczriy coda. Allematively, plaasa cal nd arabs 1833001 (m BSNL banding}, 047118520040 BSNL mobil 047 12388E2.4047 1211508H047121-15086Ktrom echor nobcees) are quota the Goriiicato Rutnher ta the operaES G8 GOVERNMENT OF KERALA i THRISSUR TALUK OFFICE ee NON-CREAMY LAYER CERTIFICATE (Central Employment/Educational Purpose ) No, 58270762 FORM OF CERTIFICATE TO BE PRODUCED BY OTHER BACKWARD CLASSES APPLYING FOR JOBS UNDER THE GOVERNMENT OF INDIA This is to certify that ADHITHYA KRISHNA A S Son of SASIDHARAN AK of Village/Town Koorkancheri DistriclDivision Thrissur in the State Kerala belongs to Ezhava communily which is recognized as a backward class under the Government of India, Ministry of Social Justice and Empowerment's Resolution No 1201 1/88/98-BCC dated 06-12-1999 *. Shri ADHITHYA KRISHNA A 8 and/or his family ordinarily reside(s) in the Thrissur District/Division of the Kerala State. This is also to certify that he does not belong to the persons/sections (Creamy Layer) mentioned in Column 3 of the Schedule to the Government of India, Department of Personnel and Training O.M. No. 36012/22/93 — Estt. (SCT), dated 8-9-1993"* Dated: 24/08/2021 Security Code : SK6KO Signature valid Digitally signe NTHEEP M Date: 2021.0: 2:49:07 IST Designation of issuing officer : Tahsildar Land Records ** As amended from time to time. nore: 1.The term ‘ordinerily used here wil have the same meaning as In Section 20 of the Representation of the Peoples Act, 1250 2.This certifcate is issued on the basis of tha detalls given In the application and further verifications. If any details given in the application and steched submied documents me ound tbe ene a aster i, th crpetont auth hes al lo ih to cance he cece wot 3 intimation", 8.This digitally signed docernent is legally valid as per the ator 4-Authenticity of this document can be verified from hitplfedistrict.kerala.gov.In! and submitting the Certificate Number and Security cod Alternatively, please call the numbers 155300 (from BSNL landline), 0471185300 (irom BSNL mobile), 04712395523 / 04712115094 (04712115098 ¢from other networks} and quote the Cerfiicale Number to the operator. tion Technology (IT}Aet,2000aii. Englist Buiieontesias § FORM Nos ‘5cé Rule) sa.09 mdoaed GOVERNMENT OF RRRALA __ MHR.9905 alate] DEPARTMENT OF URBAN A avsghelsoi mebayen Ooquaawtnimmatnay ond ms I caoggjenant . “Thess Conparsion t FeO avasInEROn RTT HRT IGArE as Used Uae Seton 33) Name of Local Goverment ising centicate (ita-ert eemm-coam eetidayio! me atinge momqunty] staan. IRC! 1-29 almiage Mss-on) os.ng eeOm-Losm ONTeloN nigragloes ton (Gs wider Bestia Lote Repewanon of Rts and De alos 1999) hs Acts, 1969 an Rule 8 ofthe Kerala Rog hain of snd Deths raoy nlomy aRuaend gaan Momuesmeas 2, YOY elgoe) aya mDERASIN! mY eoesgpees 0 Goepemazaiors) mays ee aBgyRCS TNS ag _ IS] FAghulamsaRT ewosang ERIE, "hiss to cory thal the ftowing information hus bos take fou he eign ee ir hich the ‘bds) Vhrssue Comoran af Teluk Tiss Distset Tiss of State Kens ent Name str for ead wets emery elem nf ani | ADHTHYA KIUSIINA A S ape fonh Sex 9 tile ; ‘a0 orem Dateot Si aay ae? : Tikervocronpertivo taoUsAAD Tn} som qucels/ Place of Sith : : epnoail alas oarimtnigds, andaomuety : sie in oli Hoon samoalin ui / Nene of Mothit sa of FPREETII KG « afimaation, aat8/ Nameaf Pie 1’ i cena ne SASIDAKAN AK ed somontiniaagies ogee ‘Address ofthe pares at thetimeof = “ask ies Ale : ; bin of the cid 2 csenonticnsenyes iucangis t sie, ale ‘ enctatens Ff : es ee a ome ogaatsait stem 4 sfor00s. 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