FORM 13 C
(See Rule 3)
GOVERNMENT OF KERALA
PAPPINISSERI VILLAGE OFFICE
CASTE CERTIFICATE
No. 69455738 Date: 28/09/2022
Certified that the person with the details mentioned below belongs to the caste
mentioned below.
Name of Person to whom certificate is MUHAMMED FAHEEM NISSAR
Gender Male
Age 12
Name of Father NISSAR K V
Address NAMAAS, 14/226, MERALI ROAD
Religion Islam
Caste OBC/ Muslim
Post Office with Pin code PAPPINISSERI, 670561
Name of Local body Pappinisseri
Village Pappinisseri
Taluk Kannur
District Kannur
Date of Issue of Certificate 28/09/2022
Designation of the issuing officer Village Officer
Remarks Nil
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 : WA43H
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.