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Application Form for Divorce Certificate

APPLICATION FORM FOR DIVORCE CERTIFICATE

 

Issue No. .................................................................................    Dated:......................................

TO,

The Chief Executive Officer,
A.P. State Warf Executive Board, Hyd.

(To be filled in Capital Letters)

Sir,

Sub:- Issue of Divorce Certificate - Reg.

I am enclosing here with necessary record for issue of Divorce Certificate.

PARTICULARS OF BRIDEGROOM (DULHA) AS PER RECORD

NAME : ...................................................................................................

FATHER’S NAME : .........................................................................................

DATE OF BIRTH : (..........................................) or AGE (     ) YEARS

OCCUPATION : .......................................................................................

RESIDENT OF : .........................................................................................

PARTICULARS OF BRIDE (DULHAN) AS PER RECORD

NAME : ....................................................................................................

FATHER’S NAME : ............................................................................................

DATE OF BIRTH : (..........................................) or AGE (    ) YEARS

OCCUPATION : ........................................................

RESIDENT OF : ..............................................................................................

DATE OF DIVORCE : ............................................

Yours Faithfully

Name &

Address :

 

(Receiver’s Signature)

(FOR OFFICE USE ONLY)

VERIFIED AND FOUND CORRECT

QUAZZAT : ............................................................... BEARING NO. .....................................

NUMBER OF CERTIFICATES : (    ) URGENT / ORDINARY

RECEIPT NO : AMOUNT RS ....................................... DATE : .........................................

CLERK N.Q. ACCOUNT OFFICER CHIEF EXECUTIVE OFFICER

M/-  
Re.5/-

========================================================

 

ANDHRA PRADESH STATE WAKF BOARD

APPLICATION FORM FOR DIVORCE CERTIFICATE

To:
Price Rs. 1/-

The Chief Executive Officer, Issue No.___________________________

A.P.State Wakf Board,

Hyderabad. Dated: _________________

Sir,

(TO BE FILLED IN CAPITAL LETTERS)

Sub: - Issue of Divorce Certificate: - Reg.

I am enclosing herewith- necessary record for issue of Divorce Certificate.

PARTICULARS OF THE BRIDGE GROOM (DULHA) AS PER RECORD

NAME : ...................................................................................................

FATHER’S NAME : ...................................................................................................

DATE OF BIRTH : ( ...............................) OR AGE (    ) YEARS

OCCUPATION :

RESIDENT OF :

PARTICULARS OF BRIDE (DULHAN) AS PER RECORD

NAME : ...................................................................................................

FATHER’S NAME : ...................................................................................................

DATE OF BIRTH : ( ..................................) OR AGE (   ) YEARS

OCCUPATION : ...................................................................................................

RESIDENT OF : ..........................................................................................................................................................

DATE OF DIVORCE : .................................................

Yours faithfully

Name:

(Receiver’s Signature) address:

( FOR OFFICE USE ONLY)

(VERIFIED AND FOUND CORRECT)

QAZAT BEARING NO.______________

NUMBER OF CERTIFICATE: (   ) URGENT / ORDINARY

RECEIPT NO: AMOUNT RS. DATE:

CLERK N.Q. ACCOUNT CHIEF EXECUTIVE

OFFICER