Sl. No.

ANDHRA PRADESH STATE WAKF BOARD, HYDERABAD

APPLICATION FORM FOR MARRIAGE CERTIFICATE
Issue No.
Date:

To,
The Chief Executive Officer,
A.P. State Wakf Executive Board Hyd.
( To be filled in Capital Letters)
Sir,
Sub: Issue of Marriage Certificate Reg.
I am enclosing here with necessary record for issue of Marriage
Certificate.
PARTICULARS OF BRIDEGROOM (DULHA) AS PER MARRIAGE RECORD
NAME

:______________________________________________

FATHERS NAME

:______________________________________________

MOTHERS NAME

:_______________________________________________

DATE OF BIRTH

:( ________________________ ) or AGE (

NATIONALITY

:________________OCCUPATION:_________________

RESIDENT OF

:_______________________________________________

) YEARS

PARTICULARS OF BRIDGE (DULHAN) AS PER MARRIAGE RECORD

NAME

:_______________________________________________

FATHERS NAME

:_______________________________________________

MOTHERS NAME

:_______________________________________________

DATE OF BIRTH

:( ________________________ ) or AGE (

NATIONALITY

:_________________OCCUPATION:________________

RESIDENT OF

:_______________________________________________

DATE OF MARRIAGE

:_______________________________________________

) YEARS

Yours Faithfully
Name &
Address:
Received

Signature

Signature

(FOR OFFICE USE ONLY)

VERIFIED AND FOUND CORRECT
QUAZZAT

:______________________________________________

NO. OF CERTIFICATE

:(

RECEIPT NO :

AMOUNT RS._______________DATE:______________

CLERK

) URGENT / ORDINARY BEARING NO.______

ACCOUNTS OFFICER

CHIEF EXECUTIVE OFFICER