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SHORT VISIT REGISTRATION

Covid Jagratha Information Folio


COme VIsit Destination Safely

Issued under Section 2 of the Epidemic Diseases act 1897 & The Disaster Management Act 2005 Inter State
Permit

Registration Number: 2423113/2021 Date: 29/08/2021

Applicant Name: riyas

Address: 31 thikka street sattankulam tuticorin

Government Issued ID Card: Aadhar-365572393247

State and District: Tamilnadu-Thoothukudi

Purpose of Visit: Death

Valid From: 29/08/2021

Valid Up To: 31/08/2021

Local contact: 9847317046

Places and Institutions of Visit: ayisha manzel perunadu ellampallure kundara kollam

Fellow Travelers

# Name Sex DOB


1 mohammed ayishatul thuslima Female 04-04-1992
2 thaga beevi Female 02-04-1948

DISTRICT COLLECTOR & DISTRICT MAGISTRATE


KOLLAM

Your information folio is the key to your safety and happiness

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