REGISTRATION FORM FOR KALYANA LAKSHMI PATHAKAM

 BRIDE PARTICULARS

SSC or Equivalent Details Available: *: YES NO

Name *: Name of the father*:

Date of birth*: Aadhaar No.*:

Educational qualification*: --Select-- Phone Number:

Caste*: --Select-- Sub-caste*: --Select--

Is an orphan *: YES NO

Mother's Name Mother's Aadhaar No*:

(As per Bank Account)*:

Is Disabled*: YES NO

Income Certificate Details:

Meeseva No :*
   

Applicant Name : * Father Name : *

District : * Mandal : *

MRO Name : * Total Income : *  

Caste Certificate Details:

Meeseva No :*
   

Applicant Name : * Father Name : *

District : * Mandal : *

MRO Name : * Caste : *

Permanent Address:
Address Line1: Address Line2:
 District*: --Select-- Mandal*: --Select--

Village*: --Select-- PIN CODE:

check here if Permanant Address & Present Address is same

Present Address:
Address Line1: Address Line2:

District*: --Select-- Mandal*: --Select--

Village*: --Select-- PIN CODE:

Present occupation*:

Bank Account Details (Mandatory Only for Orphans):

Account Holders Name: Select District: --Select--

Select Bank: --Select-- Bank IFSC Code/Branch Name: --Select--

Bank Account NO:

MOTHER'S Account Details (MANDATORY):

Account Holders Name * : District*: --Select--

Bank*: --Select-- Bank IFSC Code/Branch Name*: --Select--

Bank Account NO*:

 BRIDEGROOM PARTICULARS

SSC or Equivalent Details Available: *: YES NO

Name of the bride groom*: Name of the father*:

Date of birth*: Aadhaar No*:

Educational qualification*: --Select--

Religion*: --Select--

Caste*: --Select-- Sub-caste*: --Select--

Family Income(Per Annum): Present occupation*:

Permanent Address:
Address Line1 :* Address Line1 :*

District*: --Select-- Mandal*: --Select--

Village*: --Select-- PIN CODE:

 DETAILS OF MARRIAGE

Date of marriage*:

Place of marriage*
(Name of the temple/Kalyana Mandapam/any other institution):

Address of marriage place*:

 UPLOADS

Note*: All files should be in jpeg/jpg format & file size Should be greater than 50kb and less than 150kb.

Ist Marriage Confirmation Certificate*: Choose File No file chosen

VRO/Panchayat Secretary Approval Certificate*: Choose File No file chosen

Bride's Photo*: Choose File No file chosen

Bride's Age proof certificate*: Choose File No file chosen

Bride's Scanned Aadhaar Copy*: Choose File No file chosen

Bride Mother's Scanned Aadhaar Copy*: Choose File No file chosen

Bridegroom's Scanned Aadhaar Copy*: Choose File No file chosen

Bride Mother's Scanned Bank pass book*: Choose File No file chosen

Bride's Scanned Bank pass book: Choose File No file chosen

Please Enter the code in the image :

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