Key No.
M0300004-11122024129
FORM No. IV
[See Rule 11 (1)]
GOVERNMENT OF KERALA
DEPARTMENT OF PANCHAYAT
CERTIFICATE OF MARRIAGE
[ Issued under rule 11 (1) of the Kerala Registration of Marriages (Common) Rules, 2008 ]
Certificate No. 400268/CRCM01/GPO/2024/8487 Dated. 17/12/2024
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 Parassala Grama Panchayat
1. Date of Marriage : 28/11/2024
2. Place of Marriage : SYRO MALANKARA CATHOLIC CHURCH KOTTAVILA
Parassala Village, Neyyattinkara Taluk, Thiruvananthapuram District
3. Details of Parties to the Marriage (as on the date of marriage)
Details Husband Wife
(a) Name in full (Capital Letters) AMITH PAUL THOMAS ANCY SELVARAJ
(b) Nationality Indian Indian
(c) Age and date of birth 31, 22/05/1993 26, 01/09/1998
(d) Occupation PRIVATE JOB NIL
(e) Permanent Address Ajith Bhavanam, Thekkekara, Marutharavilakam, Paloorkonam,
Pallarimangalam P.O., Alappuzha, Parassala P.O., Thiruvananthapuram,
Kerala, India PIN: 690107 Kerala, India PIN: 695502
(e.a) where the husband is a Non -
resident Indian
(i) Address NA
(ii) Security Number NA
(iii) Passport Number NA
(f) Name of parents or guardian
and the relationship
(i) Father PAUL THOMAS SELVARAJ H
(ii) Mother KOCHUMOL JAYA K
(iii) Guardian
The authenticity of this certificate can be verified at https://citizen.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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Key No. M0300004-11122024129
3. Details of Parties to the Marriage (as on the date of marriage)
Details Husband Wife
(g) Photographs:
Registration No. : 337/2024 Date of Registration : 17/12/2024
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Signature Not Verified
Digitally signed by B K KRISHNAKUMAR
Date: 2024.12.17 13:09:32 IST
Date of Issue : 17/12/2024 06:04:47 PM Reason: ILGMS Govt. of Kerala
: Seventeenth Day of December 2024
Last Updated on 17/12/2024 (18:04) Local Registrar : Local Registrar of Marriages (Common),
Parassala Grama Panchayat
The authenticity of this certificate can be verified at https://citizen.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
Page 2/2
