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FORM NO.

II

DECLARATION OF MP/MLA/GAZETTED OFFICER/


MEMBER OF LOCAL SELF GOVERNMENT INSTITUTIONS

[See Rules 9 (3), 9(4) and Rule 10]

I………………………………………………………………………………………………………………………………….

hereby certified that the marriage between Sri. ….…………..……………….…………………..


Nizhamudeen Noorudeen
.............................................................................................................and

Smt………………………………………………………………………………………………………………………………
Sunila Mytheen kunju Sulekha
was solemnized at ………………………………………………………………………………………………………
S P M Auditorium Pallimukku Kollam

…………………………………………………………………………………………………………………………………….

on …………………………………………………….
08.05.2000 and the fact is personally known to me.

Place……………………………………….
Kollam Signature…………………………………………………..

Date …………………………………… Name………………………………………………………….

(MP/MLA/Gazetted Officer/ Member


of Local Self Government Institution)

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