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Marriage Certificate

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                           CORPORATION OF KOCHI
     APPLICATION FORM FOR MARRIAGE CERTIFICATE

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                          (hnhml km£y]{X¯
         I request you to issue me a certificate of marriage.

The details are given below:-

1. Name of Husband

2. Name of Wife

3. Date of registration

4. Date of Marriage

5. Place of Marriage

Place:                                             Name and Signature of the Applicant
                                                     (At]£Isâ t]êw H¸pw)

Date:

                                      (For Office Use)

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kÀ«n-^n-¡äv X¿m-dm¡n Ab-¡p-¶p.


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