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.
(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
Place of marriage Date of Marrage
Taluk.............
Town.............
Village..........
ParticularS
Wife Name
C.D.
Age
Birth place (if available)
Civil Condition (at the time of marriage)
Unmarried/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.
(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