Key No. M03080018092017003000 FORM No.IV
[See Rule 11(1)]
GOVERNMENT OF KERALA
DEPARTMENT OF PANCHAYATH
CERTIFICATE OF MARRIAGE
[ Issued under rule 11 (1) of the Kerala Registration of Marriages (Common) Rules, 2008 ]
Certificate No. 5104/2017 Dated. 01/11/2017
This is to certify that the following information has been taken from the Register of Marriages (Common) maintained in Form No. III
in the Office of the Local Registrar of Alappad Grama Panchayat
1. Date of Marriage : 27/08/2017
2.Place of Marriage : Subramania Swami Kshethram, Azheekkal
Alappad Village, Karunagappally Taluk, Kollam District
3. Details of Parties to the Marriage (as on the date of marriage)
Details Husband Wife
(a) Name in full (Capital Letters) B.VIKAS S.VEENA
(b) Nationality Indian Indian
(c) Age and date of birth 27, 17/08/1990 21, 04/04/1996
(d) Occupation Graphic Designer Nil
(e) Permanent Address Mangalasseril, Azheekal, Prayar, Vipin Bhavanam, Kayamkulam, Krishnapuram,
Azheekkalthura, Kollam, Kerala - 690547 Alappuzha, Kerala - 690533
(f) Name of parents or guardian and the Babu V.Soman
relationship Baby T.Geetha
(i) Father
(ii) Mother
(ii) Guardian
(g) Photographs:
Registration No. : 112/2017 Date of Registration : 27/09/2017
Date of Issue : 01/11/2017 (12:18) Last Updated on 27/09/2017 (15:19)
First Day of November 2017
Local Registrar : Local Registrar of Marriages (Common) ,
Alappad Grama Panchayat
This certificate is computer generated and does not require any Seal/Signature in original.
The Govt. vide G.O.(P) 6/2013/Law Dated 09/10/2013 has approved this certificate as a valid document for all official purposes
The authenticity of this certificate can be verified at www.cr.lsgkerala.gov.in. The Key Number is unique to each event.
Software developed and supported by Information Kerala Mission.
Certificate printed before the last updated date is invalid
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