FORM 13 C
(See Rule 3)
GOVERNMENT OF KERALA
KOLLAM TALUK OFFICE
CASTE CERTIFICATE
No. 40821408 Date: 21/06/2019
Certified that the person with the details mentioned below belongs to the caste
mentioned below.
Name of Person to whom certificate is
MUBASSHIR KOYA THANGAL
issued
Gender Male
Age 22
Name of Father SALAHUDEEN KOYA THANGAL
MUTHIRETH PADINJATTATHIL, 0, SECULAR
Address
NAGAR 18
Religion Islam
Caste OBC/ Muslim
Post Office with Pin code KILIKOLLOOR, 691004
Name of Local body Kollam
Village Kilikollur
Taluk Kollam
District Kollam
Date of Issue of Certificate 21/06/2019
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 : ES52I Signature valid
Digitally signed by SURESH KUMAR G K
Date: 2019.06.21 12:55:08 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.