Key No. FORM No.

IV
M0171WB31052022005000 [See Rule 11(1)]
GOVERNMENT OF KERALA
DEPARTMENT OF URBAN AFFAIRS
CERTIFICATE OF MARRIAGE
[ Issued under rule 11 (1) of the Kerala Registration of Marriages (Common) Rules, 2008 ]

Certificate No. 43515/2022 Dated. 24/02/2023

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 KOZHIKODE CORPORATION

1. Date of Marriage : 20/05/2022

2.Place of Marriage : Ashirvad Lawns, Karaparamb

Katcheri Village, Kozhikode Taluk, Kozhikode District

3. Details of Parties to the Marriage (as on the date of marriage)

Details Husband Wife

(a) Name in full (Capital Letters) GOPAKUMAR KOZHIPURATH HARIDAS NILAH RAVI NAIR

(b) Nationality Indian Indian

(c) Age and date of birth 33, 12/10/1988 27, 27/01/1995

(d) Occupation MANAGER RESEARCH ASSOCIATE

(e) Permanent Address JANAKI NIVAS, NEAR KOLLANGOTTU 1/88, MOHANA HOUSE, PATHIRIKKAD
AYYAPPA TEMPLE, Chevayur.PO, ROAD, VIYYUR VILLAGE, Koyilandy.PO,
Kozhikkode, Kerala - 673017 Kozhikkode, Kerala - 673305

(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 HARIDASAN POOLOLIL THAYYIL RAVI NAIR

(ii) Mother DHATHRI KOZHIPURATH SUNITA MOHANDAS RAJALAKSHMY

(ii) 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 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
Page 1/2
Key No.
M0171WB31052022005000
3. Details of Parties to the Marriage (as on the date of marriage)

Details Husband Wife

(g) Photographs:

Registration No. 1785/2022 Date of Registration : 31/05/2022

Date of Issue : 24/02/2023 (15:49)

: TwentyFourth Day of February 2023

Last Updated on 31/05/2022 (18:23) Local Registrar : Local Registrar of Marriages (Common) ,
KOZHIKODE CORPORATION

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
Page 2/2