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    This document is a registration form for Binila B, a domestic returnee traveling from Chennai Central station in Tamil Nadu to Chengannur station in Kerala on June 10, 2021. It provides her name, address, ID number, starting station, destination station, travel purpose, and train details. It also lists her fellow traveler, Biju B, and is signed by the Principal Secretary for the Government of Kerala.

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    This document is a registration form for Binila B, a domestic returnee traveling from Chennai Central station in Tamil Nadu to Chengannur station in Kerala on June 10, 2021. It provides her name, address, ID number, starting station, destination station, travel purpose, and train details. It also lists her fellow traveler, Biju B, and is signed by the Principal Secretary for the Government of Kerala.

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    4 views1 page

    Unknown

    Uploaded by

    Binila B
    This document is a registration form for Binila B, a domestic returnee traveling from Chennai Central station in Tamil Nadu to Chengannur station in Kerala on June 10, 2021. It provides her name, address, ID number, starting station, destination station, travel purpose, and train details. It also lists her fellow traveler, Biju B, and is signed by the Principal Secretary for the Government of Kerala.

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    of 1

    DOMESTIC RETURNEES 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
    (Outside State) Permit

    Registration Number: 3989635 Date: 07-06-2021

    Applicant Name: Binila B


    Address: Palathupattu house Cheriyanad Chengannur
    Government Issued ID Card: 968708788071
    Starting station: CHENNAI CENTRAL
    District: ALAPPUZHA
    Localbody: Cheriyanad
    Name Date
    Destination Railway Station:
    Chengannur(CNGR) 10-06-2021
    Purpose of Travel: Other
    Train Details: 02623 MAS TVC EXPRESS-02623 S4 66

    Fellow Travelers

    # Name Sex DOB


    1 Biju B Male 18-05-1960

    PRINCIPAL SECRETARY
    STATE CO-ORDINATOR FOR INTERSTATE TRANSIT
    GOVERNMENT OF KERALA

    Your information folio is the key to your safety and happiness

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