FORM-I

​ APPLICATION
FOR FILLING OF MARRIAGE MEMORANDUM

TO,

The Registrar of Marriage,

Under Hindu Marriage Act.
Bidar.

Sir,
Marriage accordance with the provisions of Hindu Marriage Act 1955 (
Act No: 25 of 1955) has been solemnized between us the under mentioned
parties on 15-07-2013 and we reqest that the following particulars of our
marriage be registered in the Hindu Marriage Register. We hereby declare:-

1] That a valid marriage was solemnized between us and that the

Marriage is capable of being registered under section 8 of the Hindu Marriage
Act 1955 ( Central Act 25 of 1955)

11] That the conditions laid down in Sec. 5 of the said act have been satisfied
and

111] That the Particulars given in application are ture to the best of our
Knowledge and belief.

Signature.

1] Husband

2] Wife.
 FORM-1
(See Rule-4)
MEMORANDUM OF MARRIAGE

Joint photo of the Bride and Bridegroom

(to be attested by bried and bridegroom)
1) Date of Marriage :- 12-5-2013
2) Place of Marriage :- Banalli Tq: Humnabad

3) a)Full name of the bridegroom :- Venkat Reddy

b) Name of the father
c) Name of the mother
d) His age
e) Usual place of residence
:- Narayana Reddy
:- Sekamma
:- 34 Years (12-06-1982)
:- #228/1 Madapannahalli Road, Near RSS
Bank Singanayakanahlli , Bangalore North.

f) Address :- -do-
g) Status of the bridefroom :-
At the time of marriage whether
Un-married/ widower Unmarried.
h) Signature of the bridegroom :-
With date.
4] a) Full name of the bride :- Deepika
b) Name of the father :- Pentareddy
c) Name of the Mother :- Padmavati
d) Her age :- 21 Year
e) Usual place of residence :- H.NI. 9-5-305, Chidri Road, Badroddin
Colony. Bidar. Karnataka – 585 401.
 f) Address :- -do-
g) status of the birde at the time
of Marriage wheth
Married/ widow. :- Unmarried.

h) Signature of the bride with date :-

-2-

5] Full name of the witness : ARJUN S/O MALGOUNDA

(Specify the Blood relation if any ( Friend of bridegroom)
With the bride or bridegroom)
a) His /her age :- 58 YEARS
b) Usual place of residence :- R/O KANANALLI TQ; BIDAR.
c) Address :- -do-

d) Signature of the withess :-

6] Full name of the withess :- RAVI S/O RAMCHANDER

(Specify the Blood relation if any ( Friend of bridegroom)
With the bride ofbridegroom)
a) His/ her age :- 37 YEARS.
b) Usual Place of residence : SULTANPUR TQ; DIST: BiDAR
c) Address :- -do-

d) Signature of the witness :-

7] Full name of the withess :- BEERAPPA S/O NARSANNA

(Specify the Blood relation if any R/o. BASANTPUR Tq: ZAHEERABAD (A.P)
With the bride or bridegroom) ( Family friend. of bride )
a) His/her age :- 26 Years.
b) Usual Place of residence :-
c) Address :-

d) Signature of the Witness :-

 FORMAT-11

(Karnataka Rule4(4) under Hindu Marriage Act. 1955)

Endorsement to be made on the papers of the Memorandum and duplicate​.

​The memorandum was received by me on___________this Memorandum is

filled at serial No:___________Page, Page of volume________of the registar
marriage maintanined under the Hindu Marriage Act, 1955 (25 to 1955 )

Date:
Signature,
Registar of Marriage.

FORMAT-11
( Karnataka Rule5(1) under Hindu Marriage Act, 1955 )

CERTIFICATE AFFIXED TO MEMORANUM

Certified that the above which contains At.SI.No._____are

Duplicate copies of all the memorandum filed in the registar
Maintained ny by me under the Hindu Marriage Act 1955
during the month of_________dated _____________day of

Signature,

A​NNEXURE-‘D’
BEFORE THE PASSPORT OFFICER, BANGALORE
AFFIDAVIT
We. 1) RAJAPPA S/O DAULAPPA
2) SHOBHAVATHI W/O RAJAPPA
Solemnly declare and affirm following:-

-2-

1] That we married Under Hindu Marriage Act. Right customs and

are living together as married couple since: 18-06-2000.

2] That SHOBHAVATHI W/O RAJAPPA. Would hence forth be

knpwn as SHOBHAVATHI W/O RAJAPPA. By virtue of our
marriage.

3] That our joint photograph is affixed below.

No of correction :[ ]
Identified by me.

Advocate. Deponents.

1] RAJAPPA S/O DAULAPPA

2] SHOBHAVATHI W/O RAJAPPA

R/O Thadapalli.
At post: Thadapalli.
Tq: Dist: BIDAR- 585 403.
 FORM-1
(See Rule-4)
MEMORANDUM OF MARRIAGE

Joint photo of the Bride and Bridegroom

(to be attested by bride and bridegroom)
1) Date of Marriage :-
2) Place of Marriage :-

b) a) Full name of the bridegroom :-

c) Name of the father :-
d) Name of the mother :-
e) His age :-
f) Usual place of residence :-

g) Address :-
h) Status of the bridegroom :-
At the time of marriage whether
Un-married/ widower
i) Signature of the bridegroom :-

4] a) Full name of the bride :-

b) Name of the father :-
c) Name of the Mother :-
d) Her age :-
 e) Usual place of residence :-

f) Address :-
g) status of the bride at the time :-
of Marriage whether un-
Married/ widow.
h) Signature of the bride with date :-

-2-

5] Full name of the witness :

(Specify the Blood relation if any :
With the bride or bridegroom)
a) His /her age :-
b) Usual place of residence :-
c) Address :-

d) Signature of the witness :-

6] Full name of the witness :-

(Specify the Blood relation if any
With the bride of bridegroom)
a) His/ her age :-
b) Usual Place of residence :-
c) Address :-

d) Signature of the witness :-

7] Full name of the witness :-

(Specify the Blood relation if any
With the bride or bridegroom) :-
a) His/her age :-
b) Usual Place of residence :-
c) Address :-
 d) Signature of the Witness :-

8] Full name of the witness :-

(Specify the Blood relation if any
With the bride or bridegroom) :-
a) His/her age :-
b) Usual Place of residence :-
c) Address :-

d) Signature of the Witness :-