PIMPRI CHINCHWAD MUNICIPAL CPRPORATION

FORM “D’’
MEMORANDUM OF MARRIAGE

SECTION NO. 6 & RULE NO.5

DOCUMENTS PRESENTED ALONG WITH THIS MEMORANDUM

Name of the holder Purpose Document Document

Serial presented No.
no
1 Mr. Jakali Adhishree Identification & Age proof Passport L -3434372
Shreenivas Address proof
(Husband)
2 Mr. Jakali Adhishree Identification & Age proof Adhar Card 9106 1701 8284
Shreenivas Address proof

3 Miss. Pataskar Archana Identification & Age proof Passport S - 2717575

Vinayak Address proof
(wife)
4 Miss. Pataskar Archana Identification & Age proof Adhar Card 2737 4342 5714
Vinayak Address proof

5 Mr. Pataskar Vinayak Address proof Adhar Card 4844 4022 4353
Vireshwar
(Witness No. 1)
6 Mrs. Pataskar Varsha Address proof Adhar Card 5163 8824 6708
Vinayak
(Witness No. 2)
7 Mr. Pataskar Vineet Address proof Adhar Card 3844 5614 1174
Vinayak
(Witness No. 3)
8 Mr. Jakali Adhishree Divorce proof Judgment / Petition no.F-
Shreenivas court order 238/2016
(Husband) judgment dated
24/10/2016.
9 Mr. Jakali Adhishree Divorce proof Decree / Petition no.F-
Shreenivas court order 238/2016
(Husband) judgment dated
24/10/2016.
10 Miss. Pataskar Archana Divorce proof Judgment / Petition no.
Vinayak court order 986/2015
(wife) judgment dated
23/03/2016.
11 Miss. Pataskar Archana Divorce proof Decree / Petition no.
Vinayak court order 986/2015
(wife) judgment dated
23/03/2016.
12 Mr. Jakali Adhishree 3 passport size photographs
Shreenivas
(Husband)
13 Miss. Pataskar Archana 3 passport size photographs
Vinayak
(wife)
14 Mr. Pataskar Vinayak 2 passport size photographs
Vireshwar
(Witness No. 1)
15 Mrs. Pataskar Varsha 2 passport size photographs
Vinayak
(Witness No. 2)
16 Mr. Pataskar Vineet 2 passport size photographs
Vinayak
(Witness No. 3)
17 Mr. Jakali Adhishree 2 Marriage photographs +
Shreenivas marriage Invitation Cards
(Husband) & Mrs. Jakali
Archana Adhishree
(wife)
18 Form D with Rupee
Hundred court fee stamps
duly affixed to it.