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mentioned below has passed the Second,Year Pre.University

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Karnataka Secondary Education Examination Board

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BANGALOREa F a o 6 0 3 / 0 6 / 9 5DAT'ED

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Signature of the Candidate with Date

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Marriage OfficerHaveri

Prlnt DateSaturday, September 4' 2010

Government of Karnataka

Certificate of Re gistration of Hindu MarriageFORM II.A

[See Rule 4(5)]

(Under the Hindu Marr iage Act, 1955)(Central Act, XXV of 1955)

( Joint Photo of Husb€rnd and wife with their slgnatures)

Residing atI/,is ls to cefttfy that Smt. SOW1:LYA.C..S, .?q,'lg!'!':of C'SR/N/VAS, ,t#s6. WHEELIA ROAO'COX TOWN BAN?ALORE-OS and Sn SANJAy PATILsoi oi vE{nAtNAG O tJ DA Resid ing at YALAKKT oN t H AV ERp 58 1 1 0 h ave

fiiiinriti" la,tnuno in the mteiorandury declaring that their.marriage hasO,een sotemnized on Monday 28, June, 2010 and that the sary9 !y,b9eniegisterea this saturday 04,'september,2010 entered as HVR'HM7|'2010'1 1 '

(Seal)

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Station :

Marriage Number :

Date

CD Number

HAVERI

HVR-HM7L-2010-11

04-Sep-2010

HVRM2

( S.M.JALI )

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