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Surname เขียม (เขียม , Khiam ) , across the world, is quite a rare family name. The surname เขียม is habitual in Cayman Islands, where it is quite a rare surname, Malaysia, and Bahrain, where it is a rare surname. Not in comparison with a country's population, it is commonest in Malaysia, Pakistan, and India. Very seldom, เขียม is the forename as well as the last name.