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Government of Odisha
SCHEDULE - 'A' Form of application for Registration of Marriage Under the Hindu marriage Act 1955
[SEE RULE (5)]
To The Registrar of Marriages,
The particulars of the marriage are given below : 1. 2. 3. Date of marriage Place of marriage Name of BRIDEGROOM (a) His Father's Name (b) Usual place of resident (c) Full Address (d) Foreign address, if any (e) Age of bridegroom at the time of marriage (f) Civil Condition at the time of marriage Whether remarried / widower / divorced 4. (a) Name of BRIDE (b) Her father's Name (c) Usual Place of bride (d) Full address of bride (e) Foreign address, if any (f) Age at the time of (g) Civil condition at the time of marriage whether unmarried / widow / divorce Place Dated
SCHEDULE - 'D'
Form of Extract For Hindu Marriage Register SEE RULE (10)
1. Name of Applicant 2. Date on which application for registration made 3. Place of marriage Particular of Bridegroom 1. Name 2. 3. Father's Name Usual place of Residence 4. Full 5. 6. 7. Address Foreign address, if any Age at the time of Marriage Civil condition at the time Of marriage whether married/ Unmarried/widow/divorced. REGISTERED AT No. ON REGISTRAR OF MARRIAGES Particular of Bride
Certified that the above which contains entries from No. 1 to 6 regarding the registration of marriage With In the Hindu Marriage Register. is true extract of all the entries
Registrar of Marriages
Original/Duplicate/Triplicate PROVINCIAL
CHALLAN No.
Treasury/Sub Treasury Challan of Cash paid into the Branch of State Bank of India
By whom tender ed
To be filled the remitter Name o f designation & address of the person whose behalf money is paid
Reserve
Amo unt
Rs
P.
To be filled in by the remit Departmental officer of the treasury Head of Order in the Bank account
Total In Rupees words Signature Rs. In words To be used in the case of remittance to the Bank through an officer of the Got.
Date Accountant
REGISTERED AT No.
ON
REGISTRAR OF MARRIAGES