FORM 13 C
(See Rule 3)
GOVERNMENT OF KERALA
KOLLAM TALUK OFFICE
CASTE CERTIFICATE
No. 28962335 Date: 20/11/2017
Certified that the person with the details mentioned below belongs to the caste
mentioned below.
Name of Person to whom certificate is
RINCY S
issued
Gender Female
Age 25
Name of Father SHARIEF M
THADATHILVILA PUTHEN VEEDU, 85,
Address
KILIKOLLOOR
Religion Islam
Caste OBC/ Muslim
Post Office with Pin code KALLUMTHAZHAM PO, 691004
Name of Local body Kollam
Village Kilikollur
Taluk Kollam
District Kollam
Date of Issue of Certificate 20/11/2017
Designation of the issuing officer TAHSILDAR
This certificate is issued based on the details given in the application, local enquiry, facts and records produced and is valid only for a
period of three years from the date of issue.
Security Code : 60667
Signature Not Verified
Digitally signed by T R AHAMEDKABEER
Date: 2017.11.20 14:47:13 IST
NOTE:
1. This digitally signed document is legally valid as per the Information Technology (IT) Act, 2000.
2. Authenticity of this document can be verified from http://edistrict.kerala.gov.in/ and submitting the Certificate Number and
Security code. Alternatively, please call the numbers 155300(from BSNL landline), 0471155300(from BSNL mobile),
04712335523/04712115094/04712115098(from other networks) and quote the Certificate Number to the operator.