APPLICATION FOR REGISTRATION OF MARRIAGE
To,
The Local Registrar of Marriages, Municipal Corporation, Patiala,
the State of Punjab.
Sir/Madam,
We, Arjun Malhotra and Simran Malhotra, apply for registration of our marriage and for issue of a marriage certificate, and furnish the following particulars.
PARTICULARS OF THE HUSBAND
Name: Arjun Malhotra
Father's/Mother's name: Suresh Malhotra
Date of birth: 1 April 2026
Occupation: Bank Manager
Address: House No. 812, Urban Estate Phase II, Patiala 147002
Marital status immediately before this marriage: unmarried
Nationality: X
PARTICULARS OF THE WIFE
Name: Simran Malhotra
Father's/Mother's name: Anil Kapoor
Date of birth: 2 April 2026
Occupation: Physiotherapist
Address: House No. 812, Urban Estate Phase II, Patiala 147002
Marital status immediately before this marriage: unmarried
PARTICULARS OF THE MARRIAGE
Date of marriage: 3 April 2026
Place of marriage: Shiv Mandir, Urban Estate Phase II, Patiala
The marriage was solemnised according to Hindu, Sikh, Jain or Buddhist rites
Solemnised by: Pandit Ram Lal Sharma
WITNESSES TO THE MARRIAGE
Witness 1: Rakesh Malhotra, House No. 640, Urban Estate Phase II, Patiala 147002
Witness 2: Neelam Kapoor, House No. 71, Model Town, Patiala 147001
Further witnesses: X
JURISDICTION AND TIMING
This application is made to the Local Registrar in the State of Punjab because the marriage was solemnised within the jurisdiction of this Local Registrar.
This application is made within ninety days of the date of marriage, so that this application falls within the period ordinarily prescribed for registration without a late fee
DECLARATION
We jointly declare that the particulars given above are true to the best of our knowledge and belief, that this marriage has not previously been registered, and that we seek registration of the marriage and issue of a marriage certificate accordingly.
Signature of Husband: _______________________ Date: 4 April 2026
Signature of Wife: _______________________
Witness 1 (signature): _______________________
Witness 2 (signature): _______________________