Blank formats for Rayagada Block SSEPD Section.

1. SCHEDULE – ‘A’
Form of application for Registration of Marriage
Under the Hindu marriage Act 1955
[SEE RULE (5)]
To
The Registrar of Marriages,
______________________
I __________________________ S/o D/o W/o _____________________
resident of village _______________________ Tehsil _____________________
District _________________________ do hereby apply for registration of my
marriage under section – 8 of the Hindu Marriage Act 1955.
The particulars of the marriage are given below : -
1. Date of marriage __________________________________________
2. Place of marriage __________________________________________
3. Name of BRIDEGROOM ____________________________________
(a) His Father’s Name ______________________________________
(b) Usual place of resident ___________________________________
(c) Full Address ___________________________________________
(d) Foreign address, if any ___________________________________
(e) Age of bridegroom at the time of marriage ____________________
(f) Civil Condition at the time of marriage
Whether remarried / widower / divorced ______________________
4. (a) Name of BRIDE ________________________________________
(b) Her father’s Name ______________________________________
(c) Usual Place of bride ____________________________________
(d) Full address of bride ____________________________________
(e) Foreign address, if any __________________________________
(f) Age at the time of ______________________________________
(g) Civil condition at the time of marriage
whether unmarried / widow / divorce ________________________
Signature of the Applicant
Place _________________
Dated _________________

2. SCHEDULE – ‘D’
Form of Extract For Hindu Marriage Register
SEE RULE (10)
1. Name of Applicant ___________________________________________
2. Date on which application for registration made _____________________
3. Place of marriage ____________________________________________
Particular of Bridegroom Particular of Bride
1. Name ___________________________________________________
2. Father’s Name ____________________________________________
3. Usual place of
Residence _______________________________________________
4. Full Address ______________________________________________
5. Foreign address, if any _____________________________________
6. Age at the time of Marriage __________________________________
7. Civil condition at the time
Of marriage whether married/
Unmarried/widow/divorced. __________________________________
REGISTERED AT No. _________________ ON _________________
REGISTRAR OF MARRIAGES
Certified that the above which contains entries from ____________
No. 1 to 6 regarding the registration of marriage __________________________
With ____________________________________ is true extract of all the entries
In the Hindu Marriage Register.
Registrar of Marriages

3. FORM No. 32-A Original/Duplicate/Triplicate
PROVINCIAL
(See Articles 266 & 305)
CHALLAN No.
Treasury/Sub Treasury
Challan of Cash paid into the Branch of State Bank of India
Reserve
To be filled the remitter To be filled in by the remit
Departmental officer of
the treasury
Bywhom
tendered
Name o f designation
& address of the
person whose behalf
money is paid
Full particulars of
the remittance &
of authority (If
any)
Amount
Rs P.
Head of
account
Order in the Bank
Total
Date………………..
Correct Receive &
Grant Receipt
Signature & Full
Designation of
the officer ordering
money to be
paid as
In Rupees words
Signature To be used in the case of remittance to the
Rs. In words Bank through an officer of the Got.
Received Payment Date Treasury Officer
Treasurer Accountant Agent

4. MARRIAGE CERTIFICATE
SCHEDULE ( C )
Form of Hindu Marriage Register
SEE RULE 6 (A)
1. Name of Applicant _________________________________
2. Date on which application for registration made ___________
3. Place of marriage __________________________________
4. Date of marriage ___________________________________
Particular of Bridegroom Particular of Bride
1) Name ___________________________________________________
2) Father’s Name ____________________________________________
3) Usual place of Residence ___________________________________
4) Full Address ______________________________________________
5) Foreign address, if any _____________________________________
6) Age at the time of Marriage __________________________________
7) Civil condition at the time
Of marriage whether married/
Unmarried/widow/divorced. __________________________________
REGISTERED AT No. _________________ ON ________________
REGISTRAR OF MARRIAGES