GOVERNMENT OF PUDUCHERRY

Registration Department
Acknowledgement slip for PROMIS
ACK NO: 2001115764.

* Appointment Booked on 25/06/2020 at . Please arrive 15 minutes before your

appointment.

HUSBAND DETAILS

Name : A.SELVARAJ

Age and Date Of Birth : 36(10/06/1984)

Address : 5/202,Kavitha nagar,Angeripalayam,

Tiruppur, Tamil Nadu

WIFE DETAILS

Name : R.KAVITHA

Age and Date Of Birth : 30(30/12/1989)

Address : No.7, Joe nivas, Jothi nagar, Opp. to

RTO office, Mudaliarpet, Puducherry

Declaration:
I hereby declare that the details furnished above are true and correct to the
best of my knowledge and belief.

Note:
1. Marriage registration subject to verification and correctness of records.
2. The marriage records will be entered as per the information given by the
applicant. This department does not take any responsibility for any errors
relation to Dates, Spelling mistakes, Misspelling of names of parties or likewise.
Therefore, before final submission,ensure correctness of your information.

Husband Wife

Place : Puducherry
Date : 21/06/2020
Sub-registrar Office: Puducherry