Key No.
M0940004-03042023274
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. 400879/CRCM02/GPO/2023/3377 Dated. 24/09/2023
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 Thazhekkode Grama Panchayat
1. Date of Marriage : 12/02/2023
2. Place of Marriage : Kappumugham Juma Masjid,Thazhekode
Thazhekode Village, Perinthalmanna Taluk, Malappuram District
3. Details of Parties to the Marriage (as on the date of marriage)
Details Husband Wife
(a) Name in full (Capital Letters) ABDU RAHEEM O FATHIMATH JUMANA K P
(b) Nationality Indian Indian
(c) Age and date of birth 23, 03/12/1999 18, 10/03/2004
(d) Occupation Kooli Nil
(e) Permanent Address Ottakath, Ponniakurssi, Ponniakurssi Kunnamputhoor, Thazhekode,
P.O., Malappuram, Kerala, India PIN: Thazhekkode West P.O., Malappuram,
679322 Kerala, India PIN: 679341
(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 Abdul Azeez O K P Hamza
(ii) Mother Sulaikha A P Bushara
(iii) Guardian
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 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 1/2
Key No. M0940004-03042023274
3. Details of Parties to the Marriage (as on the date of marriage)
Details Husband Wife
(g) Photographs:
Registration No. : 113/2023 Date of Registration : 13/04/2023
Date of Issue : 24/09/2023 05:21:05 PM
: Twenty Fourth Day of September 2023
Last Updated on 13/04/2023 (18:16) Local Registrar : Local Registrar of Marriages (Common),
Thazhekkode 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 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