Form - I

See Rule 5(1)

Application for Registration of Hindu Marriage under the
Tamil Nadu Hindu Marriage (Registration) Rules, 1967

HMA/ONLINE/27735030/2024
05/01/2024

Affix a passport
size photograph of
Husband Wife
both Husband and
Wife here

1. HUSBAND DETAILS
(a) Full Name (As per
VENU KONJETI
records)

(b) Religion Hindu

(c) Caste -

(d) Age & Date of Birth 34 Years & 06/01/1989

(e) Marital status before the

Divorcee
date of Marriage

(f) Occupation Employee

8-601,Bhargava Pet, Managalagiri, Guntur, Andhra Pradesh, Pincode -

(g) Permanent Address
522503, India

1
 1A. Details Of Parents HUSBAND'S FATHER
(a) Name VENKATESWRA RAO KONJETI

(b) Religion Hindu

(c) Caste -

(d) Age 58 Years, Alive

(e) Occupation Handloom Business

8-601,Bhargava Pet, Managalagiri, Guntur, Andhra Pradesh, Pincode

(f) Address
- 522503, India

1B. Details Of Parents HUSBAND'S MOTHER

(a) Name RAMADEVI KONJET

(b) Religion Hindu

(c) Caste -

(d) Age 54 Years, Alive

(e) Occupation Home Maker

8-601,Bhargava Pet, Managalagiri, Guntur, Andhra Pradesh, Pincode -

(f) Address
522503, India

2
 2. WIFE DETAILS
(a) Full Name (As per
SUBASHINI RAMAMOORTHY
records)

(b) Religion Hindu

(c) Caste -

(d) Age & Date of Birth 32 Years & 02/07/1991

(e) Marital status before the

Spinster
date of Marriage

(f) Occupation Employee

110/62 A, Sarabgu street, Cuddalore Port, Cuddalore Taluk,

(g) Permanent Address
Cuddalore District, Tamil Nadu, Pincode - 607003, India

2A. Details Of Parents WIFE'S FATHER

(a) Name RAMAMOORTHY

(b) Religion Hindu

(c) Caste -

(d) Age 69 Years, Alive

(e) Occupation Employee

110/62 A, Sarabgu street, Cuddalore Port, Cuddalore Taluk,

(f) Address
Cuddalore District, Tamil Nadu, Pincode - 607003, India

3
 2B. Details Of Parents WIFE'S MOTHER
(a) Name LOGANATHAN JAYANTHI

(b) Religion Hindu

(c) Caste -

(d) Age 46 Years, Alive

(e) Occupation Employee

110/62 A, Sarabgu street, Cuddalore Port, Cuddalore Taluk,

(f) Address
Cuddalore District, Tamil Nadu, Pincode - 607003, India

4
 3. Other Details
1. Name and Address of the person who VENKATESWRA RAO KONJETI
solemnized the Marriage (to be furnished if 8-601,Bhargava Pet, Managalagiri, Guntur, Andhra
applicable) Pradesh, Pincode - 522503, India

Yes
2. Whether the Marriage was solemnized-
(a) In accordance with the customary rites and
ceremonies of either parties to the marriage as
required by Section 7 of the Hindu Marriage Act
(OR)
(b)In accordance with Section 7(A) of the Hindu
Marriage Act

No

SHRI YOGINI TRUST, LINGA BHAIRAVI

3. Place, namely the Village, Taluk and District Street: Ishana Vihar Post
where the marriage was solemnized, with full Village: Velliangiri Foot Hills
address Taluk: PERUR
District: Coimbatore
4. The Date on which the marriage was
05/01/2024
solemnized

4. We hereby declare :-

(i) that a valid marriage was solemnized between us and that the marriage is capable of being
registered under Section 8 of the Hindu Marriage Act, 1955 (Central Act 25 of 1955)
(ii) that the conditions laid down in Section 5 and 7 or 7A of the said Act have been satisfied
(iii) that the particulars given in this application are true to the best of our knowledge and belief.
(iv) that the three witnesses who have signed below were present at the time of solemnization of
the marriage and
(v) no dowry was demanded, given and taken.

Station : Signature of the Husband

Date : Signature of the Wife

5
5. Name of the witnesses and their addresses

Sr. No. Name Father's/Husband's name and Address Signature

LOGANATH
Wife of RAMAMOORTHY,110/62-A, Sarang
1 AN
street, Cuddalore Port, cuddalore - 607003
JAYANTHI
RAMAMOO Son of AZHAGAPAN,110/62-ASarang street,
2
RTHY Cuddalore Port, cuddalore - 607003
VENKATES Son of KONJETI,8-601,Bhargava Pet,
3
WRA RAO Managalagiri, Guntur