FORM NO.

1
(See Rule 3 (3) (a) & 4 (a))
Application for Registration of Marriage under the Haryana Compulsory Registration of Marriage Act,
2008 (6 of the 2008).

TO
THE REGISTRAR OF MARRIAGE
AMBALA

Please register our marriage, the particulars of which are given below:-

Sr. Particulars : Details of Husband

No

1. Full Name (in Capital Letters) : Balwinder Singh

2. Father’s Name : Daya Singh

3. Mother’s Name : Nirmal Kaur

4. Nationality : Indian
5. Religion : Sikh

6. Complete Postal Address (with Proof) : H. No. 01, VPO Barola, District Ambala,
Haryana (INDIA)

7. Date of Birth (Proof in the form of : 30/03/1981

Birth Certificate or School Certificate
or Medical Certificate indicating age)

8. Age (in Complete years, as on the date : 23 years 10 months 04 days

of marriage)
9. Civil condition at the time of Marriage : Unmarried
Sr. Particulars : Details of Wife
No

1. Full Name (in Capital Letters) : Parvinder Kaur

2. Father’s Name : Ramesh Chand

3. Mother’s Name : Kishni Devi

4. Nationality : Indian
5. Religion : Sikh

6. Complete Postal Address (with Proof) : VPO Kheri Naru, District Karnal, Haryana
(INDIA).

7. Date of Birth (Proof in the form of : 10/12/1986

Birth Certificate or School Certificate
or Medical Certificate indicating age)

8. Age (in Complete years, as on the date : 18 years 01 Months 24 Days

of marriage)
9. Civil condition at the time of Marriage : Unmarried

Date of Marriage :03-02-2005.

Place of Marriage : at VPO Kheri Naru, District Karnal, Haryana (INDIA).
Certified that all information provided in the Form is true to the best of our knowledge and belief and
nothing has been concealed there in. It is also certifies that this marriage has not been registered earlier
anywhere in India/abroad. We shall be liable for action as per the law, if we violated any provision of
any law of the land.

Dated: Signature of Husband Signature of Wife

(Balwinder Singh) (Parvinder Kaur)

Witness to
the marriage : Bali Ram Baljit Singh
S\o Sukhi Ram, S\o Sh. Bachan Singh,
R\o Village Kheri Naru, R\o H.No. 28/194, VPO Barola,
Distt Karnal, Haryana (INDIA) Distt Ambala, Haryana (INDIA)
 AFFIDAVIT

I, Balwinder Singh Son of Daya Singh Resident of H. No. 01, VPO Barola, District Ambala, Haryana
(INDIA) do hereby solemnly affirm and declare as under:-

1. That the marriage of the deponent was solemnized on 03-02-2005 at VPO Kheri Naru, District
Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with Parvinder Kaur
Daughter of Ramesh Chand Resident of VPO Kheri Naru, District Karnal, Haryana (India) in
the presence of relatives, friends and parents of both the parties and since then we are living as
husband and wife. There is no violation of any provision of Hindu Marriage Act, 1995.

2. That the Date of Birth of the deponent is 30-03-1981, which is true and correct to the best of
his knowledge and belief.

3. That the deponent was married on 03-02-2005 and was major at that time.

4. That none of us has at the time of registration more than one spouse living.

5. That the deponent has completed the age of 23 Years at the time of marriage registration.

6. That the deponent has permanent resident of above noted address.

7. That my mother’s name is Smt. Nirmal kaur.

8. That the nationality of deponent is Indian by Birth.

9. That the marriage has not been registered any where is the state of Haryana.

AMBALA

DATE:-

DEPONENT

VERIFICATION:-

I, the above named deponent do hereby verify that the contents of affidavit are true and
correct at the best of my knowledge and belief and nothing has been kept concealed therein

DEPONENT
 AFFIDAVIT

I, Parvinder Kaur Daughter of Ramesh Chand Resident of VPO Kheri Naru, District Karnal,
Haryana (India), do hereby solemnly affirm and declare as under :-

1. That the marriage of the deponent was solemnized on 03-02-2005 at VPO Kheri Naru, District
Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with Balwinder Singh
Son of Daya Singh Resident of H. No. 01, VPO Barola, District Ambala, Haryana, (INDIA) in
the presence of relatives, friends and parents of both the parties and since then we are living as
husband and wife. There is no violation of any provision of Hindu Marriage Act, 1995.

2. That the Date of Birth of the deponent is 10-12-1986, which is true and correct to the best of
his knowledge and belief.

3. That the deponent was married on 03-02-2005 and was major at that time.

4. That none of us has at the time of registration more than one spouse living.

5. That the deponent has completed the age of 18 Years at the time of marriage registration.

6. That the deponent is permanent resident of above noted address.

7. That my mother’s name is Smt. Kishni Devi.

8. That the nationality of deponent is Indian by Birth.

9. That the marriage has not been registered any where is the state of Haryana.

AMBALA

DATE:-

DEPONENT

VERIFICATION:-

I, the above named deponent do hereby verify that the contents of affidavit are true and
correct at the best of my knowledge and belief and nothing has been kept concealed therein

DEPONENT
Statement of Balwinder Singh S/o Daya Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana
(India)

On SA

It is stated my marriage was solemnized on 03-02-2005 at VPO Kheri Naru, District Karnal, Haryana
(INDIA) according to Hindu Rites and Ceremonies with Parvinder Kaur Daughter of Ramesh Chand
Resident of VPO Kheri Naru, District Karnal, Haryana (INDIA). My date of birth is 30/03/1981, which
is true and correct to the best of my knowledge.

At the time of marriage, I was major and have completed the age of 23 years. This marriage was
solemnized with the consent and good wishes of my parents.

R.O & A.C MARRIAGE REGISTRAR,

AMBALA

Statement of Parvinder Kaur Daughter of Ramesh Chand Resident of VPO Kheri Naru, District
Karnal, Haryana (INDIA).

On SA

It is stated my marriage was solemnized on 03-02-2005 at VPO Kheri Naru, District Karnal, Haryana
(INDIA) according to Hindu Rites and Ceremonies with Balwinder Singh S/o Daya Singh R/o H. No.
01, VPO Barola, District Ambala, Haryana (INDIA). My date of birth is 10/12/1986, which is true and
correct to the best of my knowledge.

At the time of marriage, I was major and have completed the age of 18 years. This marriage was
solemnized with the consent and good wishes of my parents.

R.O & A.C MARRIAGE REGISTRAR,

AMBALA
 AFFIDAVIT

I Daya Singh Son of Bhag Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana (INDIA). Do
hereby solemnly affirm and declare as under:-

1. That Balwinder Singh is my Son.

2. That the date of Birth of my son Balwinder Singh is 30/03/1981, which is true and correct to the
best of my knowledge (photocopy of his birth certificate as proof thereof is enclosed).

3. That the marriage of my son Balwinder Singh was solemnized on 03-02-2005 at VPO Kheri
Naru, District Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with
Parvinder Kaur Daughter of Ramesh Chand Resident of VPO Kheri Naru, District Karnal,
Haryana (INDIA).

4. That the deponent is permanent resident of above named address.

AMBALA

DATE:-

DEPONENT

VERIFICATION:-

I, the above named deponent do hereby verify that the contents of affidavit are true and
correct at the best of my knowledge and belief and nothing has been kept concealed therein

DEPONENT
 AFFIDAVIT

I Nirmal Kaur wife of Daya Singh Son of Bhag Singh R/o H. No. 01, VPO Barola, District Ambala,
Haryana (INDIA). Do hereby solemnly affirm and declare as under:-

1. That Balwinder Singh is my Son.

2. That the date of Birth of my son Balwinder Singh is 30-03-1981, which is true and correct to the
best of my knowledge (photocopy of his birth certificate as proof thereof is enclosed).

3. That the marriage of my son Balwinder Singh was solemnized on 03-02-2005 at VPO Kheri
Naru, District Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with
Parvinder Kaur Daughter of Ramesh Chand Resident of VPO Kheri Naru, District Karnal,
Haryana (INDIA).

4. That the deponent is permanent resident of above named address.

AMBALA

DATE:-

DEPONENT

VERIFICATION:-

I, the above named deponent do hereby verify that the contents of affidavit are true and
correct at the best of my knowledge and belief and nothing has been kept concealed therein

DEPONENT
Statement of Daya Singh Son of Bhag Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana
(INDIA).

On SA

It is stated that the marriage of my son Balwinder Singh was solemnized on 03-02-2005 at VPO Kheri
Naru, District Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with Parvinder Kaur
Daughter of Ramesh Chand Resident of VPO Kheri Naru, District Karnal, Haryana (INDIA). In my
presence as well as in the presence of relatives, friends of both the parties.

R.O & A.C MARRIAGE REGISTRAR,

AMBALA

Statement of Nirmal Kaur wife of Daya Singh Son of Bhag Singh R/o H. No. 01, VPO Barola,
District Ambala, Haryana (INDIA).

On SA

It is stated that the marriage of my son Balwinder Singh was solemnized on 03-02-2005 at VPO Kheri
Naru, District Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with Parvinder Kaur
Daughter of Ramesh Chand Resident of VPO Kheri Naru, District Karnal, Haryana (INDIA) in my
presence as well as in the presence of relatives, friends of both the parties.

R.O & A.C MARRIAGE REGISTRAR,

AMBALA
 AFFIDAVIT

I, Ramesh Chand Son of Maha Singh Resident of VPO Kheri Naru, District Karnal, Haryana
(INDIA), do hereby solemnly affirm and declare as under :-

1. That the Parvinder Kaur is my daughter.

2. That the date of Birth of my daughter Parvinder Kaur is 10-12-1986, which is true and correct to
the best of my knowledge (photocopy of his birth certificate as proof thereof is enclosed).

3. That the marriage of my daughter Parvinder Kaur was solemnized on 03-02-2005 at VPO Kheri
Naru, District Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with
Balwinder Singh S/o Daya Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana
(INDIA).

4. That the deponent is permanent resident of above named address.

AMBALA

DATE:-

DEPONENT

VERIFICATION:-

I, the above named deponent do hereby verify that the contents of affidavit are true and
correct at the best of my knowledge and belief and nothing has been kept concealed therein

DEPONENT
 AFFIDAVIT

I, Kishni Devi wife of Ramesh Chand Son of Maha Singh Resident of VPO Kheri Naru, District
Karnal, Haryana (INDIA), do hereby solemnly affirm and declare as under :-

1. That the Parvinder Kaur is my daughter.

2. That the date of Birth of my daughter Parvinder Kaur is 10-12-1986, which is true and correct to
the best of my knowledge (photocopy of his birth certificate as proof thereof is enclosed).

3. That the marriage of my daughter Parvinder Kaur was solemnized on 03-02-2005 at VPO Kheri
Naru, District Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with
Balwinder Singh S/o Daya Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana
(INDIA).

4. That the deponent is permanent resident of above named address.

AMBALA

DATE:-

DEPONENT

VERIFICATION:-

I, the above named deponent do hereby verify that the contents of affidavit are true and correct at
the best of my knowledge and belief and nothing has been kept concealed therein

DEPONENT
Statement of Ramesh Chand Son of Maha Singh Resident of VPO Kheri Naru, District Karnal,
Haryana (INDIA)

ON SA

It is stated that the marriage of my daughter Parvinder Kaur was solemnized on 03-02-2005 at VPO
Kheri Naru, District Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with
Balwinder Singh S/o Daya Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana (INDIA) in
my presence as well as in the presence of relatives, friends of both the parties.

R.O & A.C MARRIAGE REGISTRAR,

AMBALA
 AFFIDAVIT

I, Daljinder Singh son of Kartar Singh, House No. 2, VPO Barola, District Ambala, Haryana
(INDIA) do hereby solemnly affirm to declare as under:-

1. That I know Balwinder Singh S/o Daya Singh R/o H. No. 01, VPO Barola, District Ambala,
Haryana (INDIA).

2. That the marriage of Balwinder Singh was solemnized on 03-02-2005 at VPO Kheri Naru,
District Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with Parvinder
Kaur Daughter of Ramesh Chand Resident of VPO Kheri Naru, District Karnal, Haryana
(INDIA) in my presence as well as in the presence of relatives, friends of both the parties.

3. That the deponent is permanent resident of above named address.

AMBALA

DATE:-

DEPONENT

VERIFICATION:-

I, the above named deponent do hereby verify that the contents of affidavit are true and correct at
the best of my knowledge and belief and nothing has been kept concealed therein

DEPONENT
 AFFIDAVIT

I, Bali Ram S/o Sukhi Ram resident of House No. Village Kheri Naru, District Karnal, Haryana
(INDIA) do hereby solemnly affirm to declare as under:-

1. That I know Parvinder Kaur Daughter of Ramesh Chand Resident of VPO Kheri Naru, District
Karnal, Haryana (INDIA)

2. That the marriage of Parvinder Kaur was solemnized on 03-02-2005 at VPO Kheri Naru,
District Karnal, Haryana (INDIA) according to Hindu Rites and Ceremonies with Balwinder
Singh S/o Daya Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana (INDIA) in my
presence as well as in the presence of relatives, friends of both the parties.

3. That the deponent is permanent resident of above named address.

AMBALA

DATE:-

DEPONENT

VERIFICATION:-

I, the above named deponent do hereby verify that the contents of affidavit are true and correct at
the best of my knowledge and belief and nothing has been kept concealed therein

DEPONENT
Statement of Bali Ram S/o Sukhi Ram, Village Kheri, Naru, District Karnal, Haryana (INDIA)

ON SA

It is stated that I know personally both of i.e. bridegroom Balwinder Singh S/o Daya Singh R/o H. No.
01, VPO Barola, District Ambala, Haryana (INDIA). And bride Parvinder Kaur Daughter of Ramesh
Chand Resident of VPO Kheri Naru, District Karnal, Haryana (INDIA) and their marriage was
solemnized on 03-02-2005 at VPO Kheri Naru, District Karnal, Haryana (INDIA) according to Hindu
Rites and Ceremonies in my presence as well as in the presence of relatives, friends and parents of both
the parties

R.O & A.C MARRIAGE REGISTRAR,

AMBALA

Statement of Baljit Singh son of Sh. Bachan Singh resident of House No. 28/194 VPO Barola,
District Ambala, Haryana (INDIA)

ON SA

It is stated that I know personally both of i.e. bridegroom Balwinder Singh S/o Daya Singh R/o H. No.
01, VPO Barola, District Ambala, Haryana (INDIA). And bride Parvinder Kaur Daughter of Ramesh
Chand Resident of VPO Kheri Naru, District Karnal, Haryana (INDIA) and their marriage was
solemnized on 03-02-2005 at VPO Kheri Naru, District Karnal, Haryana (INDIA) according to Hindu
Rites and Ceremonies in my presence as well as in the presence of relatives, friends and parents of both
the parties

R.O & A.C MARRIAGE REGISTRAR,

AMBALA
 FORM-IV
[(See Rule 3(3) (d)]

OFFICE OF THE REGISTRAR OF MARRIAGE

AMBALA, HARYANA (INDIA)

MARRIAGE REGISTRATION CERTIFICATE

Certified that Balwinder Singh S/o Daya Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana
(INDIA) has been married on 03-02-2005 to Parvinder Kaur Daughter of Ramesh Chand Resident of
VPO Kheri Naru, District Karnal, Haryana (INDIA) at VPO Kheri Naru, District Karnal, Haryana
(INDIA) and the said marriage have been registered on ___________ under registration no
.___________________

Issued under my hand and seal on________________________

Marriage Registrar
Ambala, Haryana (INDIA)
 FORM-IV
[(See Rule 3(3) (d)]

OFFICE OF THE REGISTRAR OF MARRIAGE

AMBALA, HARYANA (INDIA)

MARRIAGE REGISTRATION CERTIFICATE

Certified that Balwinder Singh S/o Daya Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana
(INDIA) has been married 03-02-2005 to Parvinder Kaur Daughter of Ramesh Chand Resident of
VPO Kheri Naru, District Karnal, Haryana (INDIA) at VPO Kheri Naru, District Karnal, Haryana
(INDIA) and the said marriage have been registered on ___________ under registration no
.___________________

Issued under my hand and seal on________________________

Marriage Registrar
Ambala, Haryana (INDIA)
 FORM-IV
[(See Rule 3(3) (d)]

OFFICE OF THE REGISTRAR OF MARRIAGE

AMBALA, HARYANA (INDIA)

MARRIAGE REGISTRATION CERTIFICATE

Certified that Balwinder Singh S/o Daya Singh R/o H. No. 01, VPO Barola, District Ambala, Haryana
(INDIA) has been married 03-02-2005 to Parvinder Kaur Daughter of Ramesh Chand Resident of
VPO Kheri Naru, District Karnal, Haryana (INDIA) at VPO Kheri Naru, District Karnal, Haryana
(INDIA) and the said marriage have been registered on ___________ under registration no
.___________________

Issued under my hand and seal on____________________

Marriage Registrar
Ambala, Haryana (INDIA)
Statement of Mrs Sonia Rani MC of Ward No 1, Tehsil and District Ambala, Haryana (INDIA).

ON SA

It is stated that I know personally both of i.e bridegroom Abhijeet Singh S/o Dilbag Singh R/o H. No.
1369, Sector 1,Part III, HUDA, Shahabad, Kurukshetra and bride Aena Daughter of Sukhvinder
Singh Resident of H No 451-A, Asa Singh Garden, Naraigarh Road, Ambala City Haryana (INDIA)
and their marriage was solemnized on 25-10-2019 at NRI Motel, GT Road, Ambala Delhi Highway,
Near New Grain Market, Ambala Cantt Haryana (INDIA) according to Hindu Rites and Ceremonies in
my presence as well as in the presence of relatives, friends and parents of both the parties.

R.O & A.C MARRIAGE REGISTRAR,

AMBALA