SELECT RELEVANT ACT
Note:- All fields marked * are essential
Note:- Take and Upload Signature with LTI of Parties to Marriage from Schedule of Signature A
Name Identifier
First Name Middle Name Last Name/Surname
 
Father's Name* Name Identifier
First Name Middle Name Last Name/Surname
Name Identifier
First Name Middle Name Last Name/Surname
Calendar Identifier


Groom Photo
Click here to Change Photo with Signature

 
Mobile Identifier
Country     Mobile Number
Email Identifier @
Local Name Domain Name





Address Location Image Address Identifier
Premises Name & Number Street/Locality Name
Country State District
Sub Division Area Block
Police Station Gram Panchayat Village
Post Office
Both Address Same
Address Location Image Address Identifier Same as Present Address (Click if applicable)
Premises Name & Number Street/Locality Name
Country State District
Sub Division Area Block
Police Station Gram Panchayat Village
Post Office
Marital Status*
Groom Sign
Click here to Upload/Change Signature

Name Identifier
First Name Middle Name Last Name/Surname
 
Include maiden name in certificate
Father's Name* Name Identifier
First Name Middle Name Last Name/Surname
Name Identifier
First Name Middle Name Last Name/Surname
Calendar Identifier


Bride Photo
Click here to Change Photo with Signature

 
Mobile Identifier
Country     Mobile Number
Email Identifier @
Local Name Domain Name




Address Location Image Address Identifier
Premises Name & Number Street/Locality Name
Country State District
Sub Division Area Block
Police Station Gram Panchayat Village
Post Office
Both Address Same
Address Location Image Address Identifier Same as Present Address (Click if applicable)
Premises Name & Number Street/Locality Name
Country State District
Sub Division Area Block
Police Station Gram Panchayat Village
Post Office
Marital Status*

Bride Sign
Click here to Upload/Change Signature

Address Location Image Address Identifier
Premises Name & Number Street/Locality Name
Country State District
Police Station Gram Panchayat Village
Post Office


Sub Division Area Block
Calender Identifier
Click here to Upload/Change File
Address Location Image Address Identifier
Premises Name & Number and Street/Locality Name
District Police Station
Post Office
Sub Division Area Block

Gram Panchayat Village
Calendar Identifier
Captcha Image
Letters are case sensitive
First Name Middle Name Last Name/Surname Date Of Birth Gender
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ACT CANNOT BE CHANGED LATER. DO YOU WANT TO PROCEED?
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