Government of Karnataka

Certificate of Registration of Hindu Marriage

FORM II-A
[See Rule 4(5)]
(Under the Hindu Marriage Act, 1955)
(Central Act, XXV of 1955)

This is to certify that Smt. Sapna A Halijol Daughter of Ashok Residing at #106, Shivgiri, Renuka

Florur Mill, Dharwad, Dharwad, Dharwad Hobli, Dharwad Town, Karnataka-580001 and Sri Ravi
Javali Son of Veerabhadrappa M Javali Residing at 229, Padmaraj Nagar, Hubballi, Dharwad,
Hubli, Hubli Town, Hubli Town Ward No 1, Karnataka-580030 have furnished the particulars in
memorandum declaring that their marriage has been solemnised on 22-04-2024 and that the same has been

registered on 17-05-2024 entered as HBN-HM00211-2024-25

Signature of Marriage Officer

Digitally signed by KAPPATTAPPA

Date: 2024.05.20 11:08:06 +05:30
Reason: Marriage Registration
Location: Hubli (North) SR
Station : Hubli (North)
Marriage Number : HBN-HM00211-2024-25
Date : 17-05-2024