HAAGANNEXURE-II

CERTIFICATE ISSUED BY CONCERNED OFFICE

certity that Shri SnnM201HUSO90HANAN.MRank.Had lonsladeUni/Post. ktYM/TN</SR.is

working KTYM/IVC/C...(Namc of Railway/Battalion) and it is also certificd that as per service
record Mr./Ms.AQHI.THNA.MM.:.is son/daughter6f the above RPF/RPSF personncl.
2.

It is also certified that his her daughter/son has not availed scholarship under Prime
Ministers Scholarship Scheme (PMSS) for any other course in the past.

HEINSS
Rais/Date: Signatsrc hf RPF Post-In charge/Coy. Commndgr with stamp
i01TAYAM

HI4/Name.
PROTECTN

4HIA/Designat1oRaY PROTECTION#ORC
VERIFICATION BY DSCISR.DSC/CO/SR. C0
HeIL feT II 34t f T faqTU H Iit is verified that above details are
correct.

Sr.DivisionalSecurity Cou:missioner
12-23
Railway Protecticn . ce
qIU d/Southe .ay

Asi
Sr.Divis.onal Secu
ioner SCyCommissioner
"cn Force
Railwa frötion Force
drv tHa/Southern Railway qiàry d/ Southern Railway Sr

facaáeyeaTrivandrun: fakaeiaqoyTrivandrum Oivisiona

aiba

Security Totecticnommis
 FORM 10C

(See Rule 3)

GOVERNMENT OF KERALA
POONITHURA VILLAGE OFFICE

INCOME CERTIFICATE
Date: 19/01/2024
No. 83044209

from all sOurce is

person with the details mentioned below
Certified that the Annual Family Income of the

hundred thirty two only)

772632 (Rupees seven lakh seventy two thousand six

Name of Person to whom certificate is ADHITHYA M M

issued
Gender Female
22
|Age
Name of Father MADHUSOODHANAN M M

Address
MALIACKAL HOUSE, 0, JAWAHAR ROAD

Post Office with Pin code POONITHURA, 682038

Name of Localbody Cochin

Village Poonithura
Taluk Kanayannoor
District Ernakulam
Date of Issue of Certificate 19/01/2024

Designation of the Issuing officer Village Officer

Remarks Nil

This other
and certificate is issued
documents on the basis
attatched alongof details
with given inarethefound
documents application and further
to be incorrect at averifications. Details,if
later date, the competentany, authority
given in the
hasapplication
all the riaht to
cancel the certificate without prior intimation.
issue.
This Certificate is valid for a period of one year from the date of

Security Code :A6VDG

Digitally signed by THILAKAN R

Date:19-01-2024 15:22:32

NOTE:

1. This digitaly signed document is legally valid as per the Information Technology (IT) Act, 2000.
2. Authenticity of this document can be verified from http:/ledistrict. kerala.gov.in/ and submitting the Certificate Number and Security
code. Alternatively. please contact: 155300, 0471155300, 04712335523
 FORM 13 C
(See Rule 3)

GOVERNMENT OF KERALA
POONITHURA VILLAGE OFFICE

CASTE CERTIFICATE

No. 82938954 Date: 14/01/2024

Certified that the person with the details mentioned below belongs to the caste
mentioned below.
Name of Person to whom certificate is ADHITHYAMM
Gender Female
Age 22

Name of Father
MADHUSOODHANAN M M
Address
MALIACKAL HOUSE, 0, JAWAHAR ROAD
Religion Hindu
Caste
OEC/ DHEEVARA-DHEEVARAN

Post Office with Pin code

POONITHURA, 682038
Name of Local body Cochin
|Village Poonithura
Taluk
District
Kanayannoor
Ernakulam
Date of Issue of Certificate
14/01/2024
Designation of the issuing officer Village Officer
Remarks Ni

This certificate is issued on the basis of the details given in

application and attached/submitted documents are found to betheincorrect
application and further verifications. If any details given in the
at a later date, the competent authority has all
cancel the certificate without prior intimation. the right to
This certificate is valid only for a period of three years from the
date of issue.

Security Code :0C7PB

Digitally signed by THILA
HILAKANR
Date:14-01-2024 17:20:20
NOTE

1. This digitally signed document is legally valid as per

the Information Technology (|T) Act, 2000.
2. Authenticity of this document can be verified from
Security code. Alternatively, please contact: 155300,http://edistrict.kerala.gov.in/
0471155300, 04712335523
and submiting the Certificate Number and
 FORM 26 C
(See Rule 3)

GOVERNMENT OF KERALA
POONITHURA VILLAGE OFFICE

NON-CREAMY LAYER CERTIFICATE

(State Educational Purpose)

No. 82932803 Date: 16/01/2024

This is to cerify that the person with the following details belong to the community which is designated as a
Backward Class the State of Kerala and does not belong to the category of 'Creamy Layer in the light of
the guidelines issued in [G.O.(P) No. 1/2015/BCDD dated 01-01-2015] and the schedule(s) prescribed
thereunder to identify the 'Creamy Layer' among the designated 'Socially and Educationally Backward
Classes' in the State of Kerala.
Name of Person to whom certificate is
issued ADHITHYAM M
Gender Female
Name of Father MADHUSOODHANAN M M
Address MALIACKAL HOUSE, 0, JAWAHAR ROAD
Post Office with Pin code POONITHURA, 682038
Name of Local body Cochin
|Village Poonithura
|Taluk Kanayannoor
District Ernakulam
|Religion Hindu

Caste
Dheevara/Dheevaran
Date of lssue of Certificate 16/01/2024
Designation of the issuing officer Village Officer
Remarks Nil

This certificate is issued on the basis of the details given in the application and
further verifications. If any details given in the
application and attached / submitted documents are found to be incorrect at a later date, the competent authority has allthe right
to cancel the certificate without prior intimation.

Security Code: 2LO30

Digitally signed by THILAKAN R

NOTE: Date:16-01-2024 09:24:15
1. This Certificate is valid for one year from the date of
issuance.
2. This digitally signed document is legally valid as per the Information Technology (|T) Act, 2000.
3. Authenticity of this document can be verified from http:/lledistrict.kerala.gov.in/ and submitting the Certificate Number and
Security code. Alternatively,please contact: 155300, 0471155300,04712335523