Panchayat:Repo18/vol2-page0197

(i) Address of his foreign home :

(ii) Security number of his foreign home :

(iii) Passport number :)

Name of father or guardian

We hereby declare that the particulars specified above are correct to the best of our knowledge.

Signature of Husband.........................

Signature of Wife .........................

(If the wife is a minor, signature of legal guardian at the time of marriage)

Two witnesses

1. Name

Address

Signature

2. Name

Address

Signature

Signature ofLocal Registrar.

FORM No. II

(See Rule 7)

Place of marriage Date of Marrage

Taluk.............

Town.............

Village..........

ParticularS

Husband

Wife Name

A.B.

C.D.

Age

Birth place (if available)

Civil Condition (at the time of marriage)

Unmarried/ Unmarried/

Widower/ Widow/ Divorced

Occupation

Residence If the husband is a Non-Resident Indian

(i) Address of his foreign home :

(ii) Security number of his foreign home :

(iii) Passport number :)

Name of father or guardian

We hereby declare that the particulars specified above are correct to the best of Our knowledge.

Signature of Husband......................... Signature of Wife............................... If the wife is a minor, signature of legal guardian at the time of marriage Two witnesses 1. Name Address Signature 2. Name

ഈ താൾ 2018 -ലെ പഞ്ചായത്ത് റെപ്പോ നിർമ്മാണം യജ്ഞത്തിന്റെ ഭാഗമായി സൃഷ്ടിച്ചതാണ്.