Regn. No. KERBIL/2012/45073 dated 5-9-2012 with RNI © കേരള സർക്കാർ
Reg. No. KL/TV(N)/634/2015-17 Government of Kerala 2016
കേരള ഗസററ്
KERALA GAZETTE
ആധികാരികമായി പ്രസിദ്ധപ്പെടുത്തുന്നത്
PUBLISHED BY AUTHORITY
വാല്യം 5
നമ്പർ തിരുവനന്തപുരം, ചൊവ്വ
26 }
No. Thiruvananthapuram,
Vol. V
}
Tuesday
2016 ജൂൺ 28 28th June 2016 1191 മിഥുനം 14 14th Mithunam 1191 1938 ആഷാഢം 7 7th Ashadha 1938
PART IV
Private Advertisements and Miscellaneous
Notifications
NOTIFICATION It is hereby notified for the information of all authorities concerned and the public that I, Ann D. Samuel, Christ Villa, Pravachambalam, Nemom P. O., Thiruvananthapuram District, Pin-695 020, holder of Indian Certificate of Secondary Education Examination 2008 Certificate No. TW 60009134 with Index No. T/4076/001 issued from The Council for the Indian School Certificate Examination, New Delhi; Higher Secondary Examination Certificate No. HSE 025317 with Register No. 6026436 of March 2010 issued from the Board of Higher Secondary Examination, Government of Kerala; now studying Bachelor of Arts Business Economics (Enrolment No. 1811295010) at Directorate of Distance Education, Annamalai University, Annamalainagar, Tamilnadu; Driving Licence No. 20/3421/2010 dated 9-11-2010 issued by the Asst. LA Neyyattinkara; Permanent Account No. DBKPS5536P issued from the Income Tax Department, Government of India; Electoral Identity Card No. ICR0261024 dated 11-1-2011 issued by the Electoral Registration Officer,
Trivandrum, 28-5-2016. ANN D. SAMUEL 28th JUNE 2016] KERALA GAZETTE 1040 NOTIFICATION NOTIFICATION I, Arunkumar. J, (Name changed vide Kerala Gazette Notification Vol. II, 19th March 2013, Gazette No. 12, Page No. 316), Shyni Bhavan, House No. AP IX/219, Chemboor, Ottasekharamangalam P. O., Thiruvananthapuram District, Pin-695 125, do hereby notify for the information of all authorities concerned and the public that, my minor daughter Anagha. A. S, holder of School Certificate with Admission No. 11691, dated 24-5-2016, issued by the Headmistress, L. M. S. L. P. S., Chemboor, and my minor son Aron. A. S, holder of Birth Certificate with Registration No. 562/2011, date of Registration 30-5-2011, issued by the Birth and Death Registrar, Municipal Office, Neyyattinkara, have embraced Hinduism from Christian, Sambavar Community as per Suddhi Certificate Number 26757/016, dated 27-4-2016 issued from Aryasamaj, Thiruvananthapuram with the same names. Hereafter they will be members of Hindu, Sambavar Community.
This changes will come into effect in all records related to them.
Ottasekharamangalam, 24-5-2016. ARUNKUMAR. J
NOTIFICATION
It is hereby notified for the information of all authorities concerned and the public that I, Ayyappa Das. S, Fathima Manzil, Kunninakom, Kaniyapuram P. O., Thiruvananthapuram District, holder of Extract of School Admission Register with Admission No. 1411, date of Admission 17-5-1989, issued from B. P. M. U. P. S., Vettuthura, also known as Ayyappadas in the Ration Card No. 1103095623 (Sl. No. 3), dated 24-12-2008, issued by the Taluk Supply Officer, Thiruvananthapuram, known as Ayyappa Das in the Electoral Identity Card No. BCC1505643, dated 29-5-2002, issued by the Electoral Registration Officer, Kazhakkuttom LA Constituency, known as Muhammed Bilal. S in the Birth Certificate with Registration No. 1502/2012, date of Registration 28-12-2012, issued by the Health Inspector Gr.-I, Birth, Death & Marriage Registration Kazhakuttom Zonal Office, Corporation of Thiruvananthapuram, of my daughter Ummul Fathima. N, known as Muhammad. S in the Birth Certificate with Registration No. 336/2014, date of Registration 19-8-2014, issued by the Health Inspector Gr-I, Birth, Death & Marriage Registration Kazhakuttom Zonal Office, Corporation of Thiruvananthapuram, of my son Muhammed Yusuf, is one and the same person. I have embraced Islam Religion from Hindu, Ezhava Community as per Discharge Certificate No. 3/16, dated 10-2-2016, issued from The Maunathul Islam Association, Ponnani, Kerala, with a new name Muhammad. Hereafter I will be a member of Islam Religion and have change my name as Muhammad. S.
It is hereby notified for the information of all authorities concerned and the public that I, Kumari Ambili Mini. S. K, Aiswarya, Kudavoor P. O., Thiruvananthapuram Taluk, Thiruvananthapuram District, Pin-695 313, holder of S. S. L. C. Book No. E 334020 with Register No. 302514 of March 1984, also known as Ambili S. K. in the Aadhaar No. 4081 2159 2034, issued from Unique Identification Authority of India; Ration Card No. 1103057688 (Sl. No. 4), dated 24-5-2012, issued by the Taluk Supply Officer, Thiruvananthapuram, is one and the same person. Hereafter I will be known by the name Ambili. S. K. only.
This change will come into effect in all records related to me.
Kudavoor, 27-5-2015. KUMARI AMBILI MINI. S. K
NOTIFICATION
It is hereby notified for the information of all authorities concerned and the public that I, Damodharan. R, TC 41/672, Puthunagar First, Kuriyathi, Manacaud P. O,. Thiruvananthapuram District, Pin-695 009, holder of S. S. L. C. No. M 346202 with Register No. 550146 of March 2012; Higher Secondary Examination Certificate No. HSE 2/2014/502029 of June 2014, issued from Board of Higher Secondary Examination, Government of Kerala; Migration Certificate No. HSE/M/2014/505112 dated 13-5-2014, issued from Board of Higher Secondary Examination, Government of Kerala, now studying in Bachelor of Technology Degree (S4) (Admission No. 14 ECE 117, date of Admission 14-8-2014) in University College of Engineering, Kariavattom, Thiruvananthapuram; Electoral Identity Card No. UYX0503029, dated 19-1-2015, issued by the Electoral Registration Officer, Nemom Assembly Constituency; Driving Licence No. 1/7308/2014, dated 24-7-2014, issued by the ALA, Thiruvananthapuram, also known as R. Damodharan in the Ration Card No. 1101063956 (Sl. No. 4), dated 24-12-2008, issued by the City Rationing Officer South, Thiruvananthapuram, known as R. Damodaran in the Birth Certificate with Registration No. 255, date of Registration 29-4-1996, issued by the Registrar of Births and Deaths, VI Division, Tuticorn Municipality, Department of Local Administration, Government of Tamilnadu, and in the Aadhaar No. 7886 3751 2526, issued from Unique Identification Authority of India, is one and the same person. Hereafter I have changed my name as R. Sharath and will sign accordingly.
Kaniyapuram, 26-5-2016. AYYAPPA DAS. S Manacaud, 25-5-2016. DAMODHARAN. R 28th JUNE 2016] KERALA GAZETTE 1041 NOTIFICATION NOTIFICATION It is hereby notified for the information of all authorities concerned and the public that I, Aswathy Nair. R. S, 'Rohini', TC 5/952 (1), House No. 16C, Devapalan Nagar, Ambalamukku P. O., Thiruvananthapuram District, Pin-695 005, holder of Secondary School Examination (Session : 2010-12) Grade Sheet cum Certificate of Performance S. No. SSE/2012/ 455954 with Roll No. 4168658, dated 21-5-2012, issued from Central Board of Secondary Education, Delhi; All India Senior School Certificate Examination, 2014, Marks Statement S. No. SSCE/2014/853371 with Roll No. 4637748, dated 26-5-2014, issued from Central Board of Secondary Education, Delhi; Electoral Identity Card No. UHE0749416, dated 9-1-2016, issued by the Electoral Registration Officer, Vattiyoorkavu Assembly Constituency; Aadhaar No. 9405 5585 7405, issued from Unique Identification Authority of India, also known as R. S. Aswathy Nair in the Ration Card No. 1102075685 (Sl. No. 3), dated 24-12-2008, issued by the City Rationing Officer North, Thiruvananthapuram, and in the Birth Certificate with Registration No. 219/96, date of Registration 27-3-1996, issued by the Registrar of Births and Deaths, Thiruvananthapuram Corporation, is one and the same person. Hereafter I have changed my name as Aswathy Nair. S.
This change will come into effect in all records related to me.
Ambalamukku, 27-5-2016. ASWATHY NAIR. R. S
NOTIFICATION
It is hereby notified for the information of all authorities concerned and the public that I, Christina Varikad, Jyothy Nivas, Vellalloor P. O., Kilimanoor, Thiruvananthapuram District, holder of S. S. L. C. Book No. I 129699 with Register No. 504282 of March 1996, also known as Shyla. K in the Aadhaar No. 7727 3665 4658, issued from Unique Identification Authority of India, known as Shaila in the Ration Card No. 1104175441 (Sl. No. 2), dated 25-4-2013, issued by the Taluk Supply Officer, Chirayinkeezhu; Electoral Identity Card No. JMR1785682, dated 8-3-2006, issued by the Electoral Registration Officer, Kilimanoor LA Constituency, known as Shyla Jyothy in the Birth Certificate with Registration No. 4987, date of Registration 20-11-2001, issued by the Health Supervisor, Corporation of Cochin, of my daughter Jisha Jothi, and known as Shyla V. K. in the Birth Certificate with Registration No. 3721/2007, date of Registration 12-4-2007, issued by the Sub Registrar of Births and Deaths, Corporation of Kochi, of my daughter (No Name), is one and the same person. Hereafter I will be known by the name Shyla. K only.
It is hereby notified for the information of all authorities concerned and the public that I, Sajukumar. A, Rakhi Bhavan, House No. 17/228, Kuruvinmukal, Machel P. O., Kattakada Taluk, Thiruvananthapuram District, Pin-695 571, holder of S. S. L. C. Book No. E 325454 with Register No. 153791 of March 1985, have embraced Hinduism from Christian, Nadar, Community as per Suddhi Certificate No. 26794/016, dated 23-5-2016, issued from Aryasamaj, Thiruvananthapuram with the same name. Hereafter I will be a member of Hindu, Nadar Community.
This change will come into effect in all records related to me.
Machel, 27-5-2016.
SAJUKUMAR. A
NOTIFICATION
It is hereby notified for the information of all authorities concerned and the public that I, Surya. V, Surendra Bhavan, Erickavu P. O., Karthigappally, Alappuzha District, Pin-690 516, holder of S. S. L. C. Book No. H 438738 with Register No. 492125 of March 1996; Pre-Degree Examination Pass Certificate Sl. No. 2263 with Register No. 54427 of May 1998, issued from University of Kerala; Bachelor of Science Degree Certificate No. 292324 with Register No. 312173 of April 2001, issued by the Vice-Chancellor, University of Kerala; Master of Business Administration Degree Certificate with Register No. 51256 of February 2005, issued by the Vice-Chancellor, Mahatma Gandhi University, Kottayam; Driving Licence No. AK/1905/03, dated 23-7-2003, issued by the Motor Vehicle Inspector, Regional Transport Office, Kayamkulam, also known as Surya in the Marriage Certificate with Registration No. 22/2008, date of Registration 19-3-2008, issued by the Secretary & Hindu Marriage Registrar, Kumarapuram Grama Panchayat, known as Soorya in the Electoral Identity Card No. MTV1499797, dated 22-10-2015, issued by the Electoral Registration Officer, Haripad Assembly Constituency, known as Surya Smitesh in the Aadhaar No. 4881 4825 0549, issued from Unique Identification Authority of India; Permanent Account No. AHGPV3935N, issued from Income Tax Department, Government of India; Passport No. H 4190286, dated 17-3-2009, issued by the Superintendent, Regional Passport Office, Mumbai, Maharashtra, is one and the same person. Hereafter I will be known by the name Surya Smitesh only consequent on my marriage.
Vellalloor, 23-5-2016. CHRISTINA VARIKAD 30-5-2016.
SURYA. V 28th JUNE 2016] KERALA GAZETTE 1042 NOTIFICATION It is hereby notified for the information of all concerned authorities and the public that I, Dennis Thampy, Ampishnethu, Perissery P. O., Chengannur, Alappuzha Dist., Pin-689 121, holder of S. S. L. C. Book No. K-279503 with Register No. 452088 of March 2010, Senior Secondary Examination Certificate Sl. No. D. 25395 with Roll No. 090053113283 of April 2013 issued on 21-10-2013 from National Institute of Open Schooling, Noida, Driving Licence No. 30/2119/2012 dated 12-6-2012 issued from Assistant Licensing Authority, Chengannur also known as Dennis Thampi in the Birth Certificate with Registration No. 1609/1994, date of Registration 19-4-1994 issued from Thiruvalla Municipality also as Dennis Thomas in the Election Identity Card No. SAZ0471490 issued by the Electoral Registration Officer, Chengannur LA Constituency and as Dennis in the Ration Card No. 1422035529 at Sl. No. 7 dated 27-8-2011 issued from Taluk Supply Office, Chengannur is one and the same person. Hereafter I will be known by the name Dennis Thomas only.
This change will come into effect in all records related to me.
Chengannur, 9-5-2016. DENNIS THAMPY
NOTIFICATION
Register with Admission No. 22886, date of Admission 30-5-2014, issued from Bishop Hodges Higher Secondary School, Mavelikara, of my son Bethul George Jacob, known as Jacob John Mullackal Rev in the Aadhaar No. 8841 3631 3010, issued from Unique Identification Authority of India, known as Rew Jacob John Mullackal in the Driving Licence No. 5/655/1996, dated 22-11-2014 issued by the Asst. LA, Kottayam, and known as Reverend Jacob Johnmullackal in the Ration Card No. 1523026519 (Sl. No. 1), dated 24-12-2008, issued by the Taluk Supply Officer, Kottayam, is one and the same person. Hereafter I will be known by the name Rev. Jacob John Mullackal only.
This change will come into effect in all records related to me.
Channanicadu, 8-5-2016.
JACOB JOHN
NOTIFICATION
It is hereby notified for the information of all authorities concerned and the public that I, Lissy Joseph, Mukalel House, Panamattam P. O., Panamattom, Kottayam-686 522, holder of S. S. L. C. Book No. 342564, Register No. 413122 of March 1996, Marriage Certificate No. 18/2016, dated 23-5-2016, issued by Marriage Officer, Kanjirappally, in the Birth Certificate of my daughter Aswathy Rajendran with Registration No. 2050/2001, date of Registration 20-6-2001, issued from Muvattupuzha Municipality and as Rani Rajendran in the Aadhaar Card No. 4529 5707 0027, issued by Unique Identification Authority of India, Ration Card No. 1523150488 (S1. No. 2) dated 20-9-2010, issued by Taluk Supply Officer, Kottayam, in the Extract of School Admission Register of my Children Aswathy Rajendran and Anupama Rajendran (Admission No. 8574, date of Admission 31-5-2012 and Admission No. 8561, date of Admission 31-5-2012), issued from Govt. H. S. S. Panamattom and as Rani in the Election Identity Card No. JHF1464213, dated 23-12-2014, issued by Electoral Registration Officer, Pala Constituency and also known as M. P. Rani in the Birth Certificate of my daughter Anupama Rajendran with Registration No. 470/2003, date of Registration 24-2-2003, issued from Muvattupuzha Municipality is one and the same person. I have embraced Hinduism frorn Christian, RCSC Community as per the Suddhi Certificate No. 26784/016, dated 12-5-2016, issued from Aryasamaj, Trivandrum with the name Rani Rajendran. Hereafter I will be a member of Hindu Religion and will be known by the name Rani Rajendran only consequent on my marriage and will sign accordingly.
It is hereby notified for the information of all authorities concerned and the public that I, Jacob John, Mullackal House, House No. 19/320, Channanicadu P. O., Kottayam Taluk, Kottayam District, Pin-686 533, holder of S. S. L. C. Book No. B 143057 with Register No. 299343 of April 1975; Pre-Degree Examination Certificate with Register No. 5582 of September 1977, issued from University of Kerala; Bachelor of Theology Degree Certificate of 1994; issued from Serampore College, West Bengal; Bachelor of Divinity Degree Certificate of 2005, issued from Serampore College, West Bengal; Birth Certificate with Registration No. 1176/2000, date of Registration 21-2-2000, issued by the Registrar of Birth and Death, Arpookkara Grama Panchayat, of my son Bethul George Jacob, also known as Jacob John Mullackal in the Electoral Identity Card No. FPD1271899, dated 16-12-2014, issued by the Electoral Registration Officer, Kottayam Assembly Constituency, known as Rev. Jacob John in the Permanent Account No. AHXPJ3851A, issued from Income Tax Department, Government of India; Birth Certificate with Registration No. 5041/95, date of Registration 8-11-1995, issued from Arpookara Grama Panchayat, of my son Besley Jones Jacob; S. S. L. C. No. L 122023 with Register No. 187447 of March 2011, of my son Besley Jones Jacob, known as Rev. Jacob John Mullackal in the Presbyter Certificate dated 1-4-1995, issued from Church of South India, Madhya Kerala Diocese; Extract of School Admission Panamattom,
24-5-2016. LISSY JOSEPH 28th JUNE 2016] KERALA GAZETTE 1043 NOTIFICATION I, Sreeju. R, Madathilparambil, Ruby Nagar P. O., Changanacherry Taluk, Kottayam District, Pin-686 103, do hereby notify for the information of all authorities concerned and the public that my Community which is wrongly entered as Hindu, Vaisyiar in my S. S. L. C. No. L 182778 with Register No. 217582 of March 2011 is corrected as Hindu-Vanika Vaisya, vide Certificate No. 4007/2016/C1/K.Dis. dated 9-5-2016, issued by the Tahsildar, Changanacherry Taluk.
This correction will come into effect in all records related to me.
Changanacherry, 13-5-2016.
SREEJU. R
NOTIFICATION
It is hereby notified for the information of all authorities concerned and the public that I, Sanandh C. A, Chembolayil House, S. H. Mount P. O., Kottayam-686 006, holder of S. S. L. C. No. C398194, Register No. 677174 of March 2002, Aadhaar Card No. 9837 6218 5833, issued by Unique Identification Authority of India have embraced Hinduism from Christian Cheramar Community vide Suddhi Certificate No. 26778/016, dated 10-5-2016, issued from Aryasamaj, Trivandrum with the same name.
It is further notified that my minor son Savio Sanandh, holder of Birth Certificate with Registration No. 4458/2011, date of Registration 30-12-2011, issued from Arpookara Grama Panchayat and Aadhaar Card No. 3868 3906 3825, issued by Unique Identification Authority of India have embraced Hinduism from Christian Cheramar Community as per the above Suddhi Certificate with the same name. Hereafter we will be the members of Hindu, Cheramar Community.
These changes will come into effect in all records related to us.
S. H. Mount, 11-5-2016.
SANANDH C. A
NOTIFICATION
Identification Authority of India; Permanent Account No. CSWPM4512K, issued from Income Tax Department, Government of India; Ration Card No. 1527047995 (Sl. No. 5), dated 24-12-2008, issued by the Taluk Supply Officer, Meenachil; Electoral Identity Card No. RVB0113142, dated 25-6-2015, issued by the Electoral Registration Officer, Pala Assembly Constituency; Passport No. N 0377662, dated 2-7-2015, issued by the Assistant Passport Officer, Regional Passport Office, Cochin, also known as Thoms Mathew in the Birth Certificate with Registration No. 2172/1991, date of Registration 1-10-1991, issued by the Registrar of Births and Deaths, Kottayam Municipality, is one and the same person. Hereafter I will be known by the name Tom Mathew only.
This change will come into effect in all records related to me.
Pala, 27-5-2016. TOM MATHEW
NOTIFICATION
It is hereby notified for the information of all authorities concerned and the public that I, Kumaran M. G, Mangattukunnel House, Amaravathy P. O., Peerumade, Idukki-685 509, holder of Extract of School Admission Register with Admission No. 1599, date of Admission 2-6-1969, issued from Govt. High School, Amaravathy, in the Driving Licence No. 37/940/2006, dated 9-10-2015, issued by Asst. LA, Vandiperiyar, in the Aadhaar Card No. 7303 0500 7514, issued by Unique Identification Authority of India and as Kumaran in the PAN Card No. DJDPK1392E, issued from Income Tax Department, Govt. of India, in the Election Identity Card No. SVC0601294, dated 22-10-2015, issued by Electoral Registration Officer, Peerumade Assembly Constituency, in the Ration Card No. 1631000673 (S1. No. 1), dated 24-12-2008, issued by Taluk Supply Officer, Peerumade and as Kumar in the Birth Certificate with Registration No. 973/95, date of Registration 16-11-1995, issued from Kumily Grama Panchayat of my daughter Neethu Mol, in the Birth Certificate with Registration No. 1215/97, date of Registration 10-11-1997, issued from Kumily Grama Panchayat of my son Nithin, and as Thomas in the S. S. L. C. No. L 208055 with Register No. 247250 of March 2011 of my daughter Neethu M T and also known as Thomas M. G in the S. S. L. C. No. P 226184 with Register No. 425104 of March 2014 of my son Nithin Thomas is one and the same person. I have embraced Christianity from Hindu, Velan Community as per the Baptism Certificate with Registration No. 014/2001, dated 25-11-2015, issued from St. Thomas Forane Church, Kumily with the name Thomas. Hereafter I will be a member of Christian Religion and will sign accordingly.
It is hereby notified for the information of all authorities concerned and the public that I, Tom Mathew, Kumaramthara House, House No. XIX/34, Pala P. O., Meenachil Taluk, Kottayam District, Pin-686 575, holder of Indian Certificate of Secondary Education Examination 2007, Statement of Marks No. TV 4925726 with Index No. T/1162/107, issued from Council for the Indian School Certificate Examinations, New Delhi; All India Senior School Certificate Examination, 2009 Certificate S. No. SSCE/2009/0205542 with Roll No. 4617718 of March 2009, issued from Central Board of Secondary Education, Delhi; Bachelor of Technology Degree Certificate No. 0484746 with Register No. ETAJEME109 of April 2013, issued from Vice-Chancellor, University of Calicut; Aadhaar No. 4496 5156 4782, issued from Unique Amaravathy, 11-3-2016. KUMARAN. M. G 28th JUNE 2016] KERALA GAZETTE 1044 NOTIFICATION NOTIFICATION It is hereby notified for the information of all concerned authorities and the public that I, Babu. M, Puthan Veed, Pinangode Post, Vythiri Taluk, Wayanad District, Pin-673 121, holder of S. S. L. C. No. J 239256 with Register No. 486415 March 2009, in the Aadhaar Card No. 3555 0723 4522 issued from Unique Identification Authority of India also known as Babu in the Ration Card No. 2262045154 dated 18-10-2012 issued by the Taluk Supply Officer, Vythiri, is one and the same person. Hereafter I have changed my name as Sarath Babu M.
This change will come into effect in all records
related to me.
Pinangode, 21-5-2016. BABU. M
NOTIFICATION
I, Deepa Krishnan, Bhagyadeepam, P. O. Cherukunnu, Kannapuram, Kannur District, Pin-670 301, do hereby notify for the information of all concerned authorities and the public that my minor son K. Prithvi Pandalay (Name changed vide Kerala Gazette No. 23 dated 3rd June 2008, Vol. LIII Page No. 565), holder of Birth Certificate with Registration No. 3360/2003, date of Registration 6-8-2003 issued by the Health Inspector, Registrar of Births and Deaths, Kannur Municipality, also known as Krishnan Prithvi Pandalay in the Extract of School Admission Register with Admission No. 4239, dated 1-6-2009 Session 2015-16 issued from CMR, National, Public School, Aadhaar No. 7550 3431 8424 issued from Unique Identification Authority of India, is one and the same person. Hereafter I have changed his name as Prithvi Pandaala.
This change will come into effect in all records
related to him.
Kannapuram, 18-5-2016. DEEPA KRISHNAN It is hereby notified for the information of all authorities concerned and the public that I, Raji Kuriakose, Pulikkal House, Vannayikadavu, House No. 538, Payyavoor P. O., Taliparamba, Kannur District, Pin-670 633, holder of S. S. L. C. No. A 065037 with Register No. 467974 of March 2000; Higher Secondary Examination (Class XII) Certificate No. HSE 0082097 with Register No. 1816308 of June 2005, issued from Board of Higher Secondary Examination, Government of Kerala; Bachelor of Siddha Medicine and Surgery (Siddha Maruthuva Arignar) Degree Provisional Certificate with Register No. 5034 of April 2014, issued from University of Kerala; Bachelor of Siddha Medicine and Surgery (Sidhha Maruthuva Arignar) Degree Internship Certificate Sl. No. 2/16 with Provisional Register No. 349, dated 27-5-2016, issued from Santhigiri Siddha Medical College and Hospital, Santhigiri, Thiruvananthapuram; Aadhaar No. 3480 9973 9350, issued from Unique Identification Authority of India; Electoral Identity Card No. LKR2125532, dated 12-4-2006, issued by the Electoral Registration Officer, Irikkur LA Constituency; Marriage Certificate No. 11/09, dated 29-4-2009, issued by the Marriage Officer, Sreekandapuram, also known as Raji in the Ration Card No. 2365077614 (Sl. No. 3) dated 24-12-2008, issued by the Taluk Supply Officer, Thalipparamba, known as Raji Ebrayin in the Birth Certificate with Registration No. 14711/2011, date of Registration 8-6-2011, issued of by the Registrar of Births and Deaths, Corporation of Thiruvananthapuram, of my daughter Hanna Ebrahim, known as Dr. Raji Ebrayin in the Birth Certificate with Registration No. 23903/2014, date of Registration 17-9-2014, issued by the Sub Registrar of Births and Deaths, Corporation of Thiruvananthapuram, of my son Hanaan Ebrahim, is one and the same person. I have embraced Islam Religion from Christian, R. C. S. C. Community as per Discharge Certificate No. 6182, dated 18-5-2016, issued from Therbiyathul Islam Sabha, Mukhadar, Kozhikode with a new name Isha Ebrayin. Hereafter I will be a member of Islam Religion and will be known by the name Isha Ebrayin and will sign accordingly.
Payyavoor, 30-5-2016. RAJI KURIAKOSE