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AE CERTIICATE FORELAYERS
. Name in full:
*
a l e / Female:
uti SAYIO
MALE
ather' name in full
SCHOOLY
LAR
PIace of Hirthdetails
KARWAA IOSPI1AL NESMkNDAR
l of enal pla a h s T
Actua Ben Plare Trailk m
name R, aA
M U Y E
11. In case ofstudents, class in which study ing *s at 1" January of the calendar
year of the date of this certilicate
We contin that the above intomation is true and comect Picae tMae that the Gte vf cmibng ms Toem as nikad im spae pronuad beaens
Signature of tie Player Let Hand Sipreksbn ofplayer Signaturc of Parent (In case of Minor)
from KGi
2.
Detais of eaeh Sehool/ College /Organizatlon
Onwarts
Phone Numbers
Studicd in
years Class Stuaied
Nanc
Postal Address ron To From o
S.H ENGnLISH|KALkoOMTIALNED
MEDIUM LIMkANDAMRO
KERALA, G81992
SCHOO
20192* o
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