Samalkot Municipality

Form - C
[See Section 12 of Andhra Pradesh Compulsory Registration
of Marriage Act, 2002]

Marriage Certificate

I, CMA NAYEEM AHAMED hereby certify that I have registered the marriage
of bridegroom Gollavilli Durga Prasad son of Sri Gollavilli Krishna with bride Pilla
Adilakshmi daughter of Sri Pilla Visvanadham on this 7th day of November,2022
in pursuance of the memorandum date the 20th day of August,2022 received by me
from the parties and the same has been entered at Serial No.0415 in page 1 of the
Register of Marriages maintained by me.

Registration Office : Main office

Certificate Number : 1066000260
Registration Number : 10112022000250
Application Number : 03380-2022-ZW
Certificate Date : Thu Nov 10 12:50:34 IST 2022

Digitally Signed By NAYEEM

AHMED (SAMALKOT
MUNICIPALITY)
Date : 10-Nov-2022 12:50:43
IST
Commissioner

Registrar of Marriage
Samalkot Municipality