To

The Marriage Registrar,

Sub Registrar Office,
_________________,
_________________,
_________________.
APPLICATION FOR GRANT OF EXTRACT OF HINDU MARRIAGE
REGISTER

1. Name of the Applicant

2. Address & Telephone No.

Details of Marriage

1. Name of the husband and Address

2. Father's Name of the husband

3. Name of the Wife and Address

4. Father's Name of the Wife

5. Date of Solemnization of Marriage

6. Marriage Registration No.
7. Date of Registration
8. Number of copies required
Place:
Date :
Signature

Office use
Application No: Amount of fees collected
Date:
Search No: Search Fee Copy Fee
Extract No:
Extract Received: