Gaz. No. 26/2016/DTP (Part IV).
PART IV
Private Advertisements and Miscellaneous
Notifications
303
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KERALA GAZETTE
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Regn. No. KERBIL/2012/45073
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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,
Kattakkada LA Constituency; Aadhaar No. 8741 0048 1789
issued from the Unique Identification Authority of India;
Birth Certificate with Registration No. 410/92, date of
Registration 17-8-1992, issued by the Registrar of Births
and Deaths, Corporation of Thiruvananthapuram;
Entrepreneur Certificate with Entrepreneur Memorandum
No. 32 014 21 11232 PART II, dated 12-8-2014, issued from
Department of Industries, Government of Kerala; also
known as Ann Devaraj Samuel in the Passport
No. J 2937989 dated 3-11-2010 issued by the Passport
Officer, Thiruvananthapuram, and in the Certificate of
Importer-Exporter Code (IEC) with IEC Number 5314001373,
dated 1-8-2014 issued from Office of Joint Director General
of Foreign Trade, Gokulam, KLDB Building, Pattom,
Trivandrum, is one and the same person. Hereafter I have
changed my name as Austin D. Samuel and will sign
accordingly.
This change will come into effect in all records
related to me.
Trivandrum,
28-5-2016.
ANN D. SAMUEL
28th JUNE 2016]
KERALA GAZETTE
1040
304
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.
This change will come into effect in all records
related to me.
Kaniyapuram,
26-5-2016.
AYYAPPA DAS. S
NOTIFICATION
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.
This change will come into effect in all records
related to me.
Manacaud,
25-5-2016.
DAMODHARAN. R
28th JUNE 2016]
KERALA GAZETTE
1041
305
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.
This change will come into effect in all records
related to me.
Vellalloor,
23-5-2016.
CHRISTINA VARIKAD
NOTIFICATION
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.
This change will come into effect in all records
related to me.
Erickavu,
30-5-2016.
SURYA. V
28th JUNE 2016]
KERALA GAZETTE
1042
306
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
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
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.
This change will come into effect in all records
related to me.
Panamattom,
24-5-2016.
LISSY JOSEPH
28th JUNE 2016]
KERALA GAZETTE
1043
307
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
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
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.
This change will come into effect in all records
related to me.
Amaravathy,
11-3-2016.
KUMARAN. M. G
28th JUNE 2016]
KERALA GAZETTE
1044
308
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
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.
This change will come into effect in all records
related to me.
Payyavoor,
30-5-2016.
RAJI KURIAKOSE
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