H 28223 העיר Hes Zijana BB from 2143 244 7 לח Calling of Father and Mother 8 Residence of Father and Mother ביום 1/3 Name and Surname of

of Witnesses משלח ידם של העדים အား ရား ၈၉၉ Wife האשה ਜਾਗਤ ਜਨਮ 김구 키와 새3 29.5 CHAJA SURA NEE BIROZA in the 2. Me also 28223

Signature GPP. 11488-250 F-21.1.41–1047/8. . 28223 (TO BE PREPARED IN QUADRUPLICATE). District Marriage solemnised