Address: Moottoli P.O., Kakkodi, Kozhikode (dt.) Kerala Present: Edacheripurayil, Chelannoor P.O., Kozhikode (dt.), Kerala ?
Date of Birth: XX-XX-XXXX
Qualification: 1) Aryavaida, 1952
Date of registration: 27/10/1959
Registration No.: 1212
Registered under: TCMC
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