The river then passes the towns of Palappally, Vettingapadam, Varantharapally, Vellarampadam, Mupliyam, Panthallur, Nellayi, Nandikkara, Puthukad and Cheruvaal. Further downstream the Kurumali River joins with the Manali River at Arattupuzha forming the Karuvannur River.
The river flows past Palappally, Vettingapadam, Varantharapally, Vellarampadam, Mupliyam, Panthallur, Nellayi, Nandikkara, Puthukad, and Cheruvaal. Further downstream, the Kurumali River merges with the Manali River at Arattupuzha to form the Karuvannur River.