Application Ref. No. :
Date:
Bride Details | Groom Details | ||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Name before marriage | |||||||||||
Name after marriage | - | ||||||||||
Religion (Caste) | () | () | |||||||||
Permanent Address | |||||||||||
Present Address | |||||||||||
Date of Birth (Age) | () | () | |||||||||
Rank Or Profession | |||||||||||
Mobile Number | |||||||||||
Aadhar Number | - | - | |||||||||
Father Name | |||||||||||
Mother Name | |||||||||||
Guardian Name | - | - | |||||||||
Guardian Address | - | - | |||||||||
Court Name / Address | - | - | |||||||||
Date of Decree | - | - | |||||||||
Weather the period of one year elapsed from date of decree to the date of application | - | - | |||||||||
SIGNATURE | |||||||||||
Witness Details | Witness1 | Witness2 | Witness3 | ||||||||
Name | |||||||||||
Aadhar Card No. | - | - | - | ||||||||
Relation | |||||||||||
House Number | |||||||||||
Street Name | |||||||||||
Village Name | |||||||||||
Mandal Name | |||||||||||
District Name | |||||||||||
SIGNATURE | |||||||||||
Venue & Registration Details | |||||||||||
Address Of Marriage Solemnized | |||||||||||
Date Of Marriage Performed | Date of Registration | ||||||||||
Bridegroom Age Proof | Bridegroom Address Proof | ||||||||||
Bride Age Proof | Bride Address Proof | ||||||||||
Sub Registrar Office | Signature of the Sub-Registrar |