Registration B 115

(High Rag. P. & S.C. S.T. & E) 6/77

English Translation

REGISTER OF MARRIAGES
Marriage Registration Ordinance (Cap. 112)
No: 3576

District:COLOMBO Division:HEWAGAM KORALAYA

Male Party Female Party
1. Name ( in Full) of KANKANAM GAMAGE
parties SANJANA THIWANKA UKWATTA ARACHCHIGE

2. Age (in years) TWENTY FIVE (25) TWENTY FIVE (25)

3. Civil Condition UNMARRIED UNMARRIED
4. Rank or Profession and BUSINESSMAN TEACHER
Race SINHALESE SINHALESE
5. Residence NO.1071/3 A,BODIRAJA
NO.1029/22,LIYANAGODA,
ROAD,LIYANAGODA,LIYANAGODA
PANNIPITIYA
,PANNIPITIYA
6. Father’s Name(in full) KANKANAM GAMAGE NANDASIRI
UKWATTA ARACHCHILAGE ESHANI
HARSHARIN JAYAWARDENA
7. Rank or Profession of
Father BUSINESSMAN BUSINESSMAN
8. Name and Division of
A.D.D.DE COSTA
Registrar who issued HEWAGAM KORALAYA
Certificate
9. Place of Solemnization THIS MARRIAGE IS MIRIGAMA ADDL:DISTRICT REGISTRAR’S PERMISSION
of Marriage (K/23.187973,2017.04.25) AT HENEGAMA BRIDE’S HOUSE
Solemnized by me (or in my presence) this 27th Day of April 2017
Sgd: Illegibly Registrar
This Marriage was solemnized between us in the presence of - Sgd Illegibly
Sgd Illegibly
1. (Signature of Witness: Sgd: Illegibly
(Name in full, rank or profession and Residence of Witness: Kirindagoda Mudalige Maithri Muthri
Manager-Tourism
No: 47, M.D.H.Jayawardenapura,
Palawatta, Battaramulla.
2.Signature of Witness : Sgd: Illegibly
(Name in full, rank or profession and Residence of Witness): Ukwatta Arachchilage Dilshan Randima Jayawardena
Chef
135/02,Gurugale,kawdana
.
Signed before me: Sgd: Illegibly Registrar or Minister
I certify that the above is a true copy of the Statement No:……… furnished to me under section 34, Marriage
Registration Ordinance (Cap. 112) of a Marriage solemnized by (or in the presence of)…………….. Minister.

This copy is issued under the provision of section 35(A) of the Marriage Registration Act, (Chapter. 112) as
amended by the Births, Deaths and Marriage (Amendment) Law No 41 of 1975. Sgd: Illegibly
Addl:District Registrar
Seal: Kumari de Costa
Hewagam Korala Marriage Registrar
…………….Highlevel road
Makubura,Pannipitiya.