APPENDIX

Form A
(See Rule (5) 1)
To
The Registrar of Marriages,
TANUKU.

APPLICATION FOR REGISTRATION OF HINDU MARRIAGE

Sir,

We request you to register the particulars relating to our marriage solemnized on

Bridegroom
Bride
1. Full Name of Parties
BHAGYA LAKSHMI

NALLA RAJESH

GANNAMANI H V

2. Age at the solemnization of the :

Marriage
3. (Rank)of profession

4. Permanent place of residence

sivlayam street
Solemnization of the marriage

5.

Date of birth

D No 6-6-12

D No 1-77/2

Parimi vari street

Tadiparru ,
Old town, Tanuku
Undrajavaram mandal
16-08-1988

05-10-1991

(before solemnization of the marriage)

6. Place with the names of Taluk

Tanuku

Tadiparru, Undrajavaram

mandal
And district at which the
Marriage solemnized
7.

Date of solemnization of the

Marriage

23-Mar-2016

8. Name in Full
Bhagya Lakshmi

Nalla Rajesh

9. Father
Krishna

Veera Venkata

Gannamani H V
G Rama

Satyanarayana
10.Mother
11.Guardian if any of the wife
With relationship (See sec.6)

:
:

12.Address of the Guardian :

Information to be furnished case
Of divorced persons who marry
Again (See, Sec.15)
13.Date of the decree in the court :
Of the first instance

Subba lakshmi

Padmavathi

14. Whether the period of one year:

Has elapses from the date noted
In the column 10 to the date of
Application (See Sec.15)
We hereby declare that the particulars above are correct to the best of our
knowledge and belies the our marriage is one to which the Hindu marriage Act,1955.
(central-Act 1955)applied and that we have fulfilled the condition laid in sec.5 or 15
wherever necessary
If the wife is minor
Signature of the Guardian
at the time of marriage
Station:
Date
:
Signature of
HUSBAND

:
WIFE

:
Witnesses:
1

Name
Address:

2.

Name :

Address:

Signature:

Signature:

3. Name :
Address:

Signature:
Registrar

Signature of the
With Date.

For office use Only

(No of the applicants of
1.Date and hour of presentation :

year)

2.Date of registration

3.Place and volume of the Registration at which the particulars of marriage has
been registered.
Signature of
the registrar