FORM OF NATIVITY CERTIFICATE Certified on enquiry that Shri/Smt ............................................................................................... (Full Address) ...................................................................................................................... ..................................................................... Village ........................................... Taluk ................................................................ District is permanently residing in the above village/address and he/she* is a native of Kerala. This certificate is issued to be produced before the ...................................................................... (Office Seal) Date: Signature: Tahasildar/Village Officer * Please delete the words which are not applicable 1
