Document Sr.

No: ES12573417

MARRIAGE CERTIFICATE
(Form of extract from Marriage Register Under
Punjab Compulsory Registration of Marriage Act, 2012)
FORM V (see Rule 7)

Name of Applicant: ਜਗਪ੍ਪ੍ਰ ੀਤ ਸ ਿੰ ਘ / JAGPREET SINGH

Date of Application: 30 Oct 2023

Date of Solemnization of Marriage: 26 Oct 2023

Place of Marriage: GURUDWARA SAHIB VILL MANGARH PO BHANA TEH DASUYA DISTT HOSHIARPUR

District: ਹੁਸ਼ਿ਼ਿਆਰਪ੍ਪ੍ੁਰ / Hoshiarpur

S.No. Title Particulars of BrideGroom Particulars of Bride

1. Name ਜਗਪ੍ਰ ੀਤ ਸ ਿੰ ਘ / JAGPREET SINGH ਸੁੱਖਦੀਪ ਕੌਰ / SUKHDEEP KAUR

2. Father's Name ਚਿੰ ਚਲ ਸ ਿੰ ਘ / CHANCHAL SINGH ਦਰੋਗਾ ਸਿੰਘ / DAROGA SINGH
3. Mother's Name ਬਲਵੀਰ ਕੌ ਰ / BALVIR KAUR ਗੁਰਪ੍ਰੀਤਕੌਰ / GURPREET KAUR

4. Usual place of residence ਰਿੰਧਾਵਾ ਪ੍ੋ ਪ੍ਿੰਨਵਾਂ ਤੇਹ ਦ ੂਆ ਤੇਹ ਦ ੂਹਾ ਸਜਲਾ ਪਿੰਡ ਫੂਲਡ
ੇਵਾਲਾ ਤਹਿਸੀਲ ਭਾਗਾ ਪੁਰਾਣਾ, ਮੋਗਾ ਾ
ਹੁਸ਼ਿਆਰਪ੍ੁਰ RANDHAWA PO PANWAN TEH DASUYA ਹੁVPO
ਸ਼ਿਆਰਪ੍ੁ ਰ
PHULEWALA TEH BHAGA PUARAN
DISTT HOSHIARPUR MOGA, PUNJAB
DASUYA 14206 , Punjab 144207
HOSHIARPUR
Dasuya Hoshiarpur Punjab 144207
5. Full/Foreign Address ਰਿੰਧਾਵਾ ਪ੍ੋ ਪ੍ਿੰਨਵਾਂ ਤੇਹ ਦ ੂਆ ਤੇਹ ਦ ੂਹਾ ਸਜਲਾ ਸਪ੍ਪਿੰ
ਿੰ ਡਡ ਬਸਦਆਲਾ ਪ੍ੋ. ਅਰਗੋ
ਫੂਲੇਵਾਲਾ ਤਹਿਸੀਲ ਭਾਗਾ ਪੁਵ
ਰਾਲ
ਾਣਾ, ਦ
ਮੋਗਾੂਹਾ
ਹੁਸ਼ਿਆਰਪ੍ੁਰ RANDHAWA PO PANWAN TEH DASUYA ਹੁVPO
ਸ਼ਿਆਰਪ੍ੁ ਰ VILL BADIALA
PHULEWALA PO. ARGOWAL
TEH BHAGA THE
PUARAN
MOGA, PUNJAB 14206
DISTT HOSHIARPUR DASUYA HOSHIARPUR , Punjab 144207
Dasuya Hoshiarpur Punjab 144207
6. Date Of Birth / 11 Apr 1985 22 MAY 1986
Age at the time of Marriage About 39 Years 10 Months About 38 Years 9 Months

7. Civil condition at the time of Marriage Divorced Divorced

Registered atNo. HUR/STGHRWL/2022/3824178 on 12 DEC 2023

Certified that above contents from S.No. 1 to 7 regarding Bridegroom ਜਗਪ੍ਰੀਤ ਸ ਿੰ ਘ / JAGPREET SINGH and No. 1 to 7 regarding Bride ਸੁੱ ਖਦੀਪ ਕੌਰ / SUKHDEEP KAUR are
true and correct of all entries in the Marriage Register under Punjab Compulsory Registration of Marriage Act, 2012.

Signature of the Approving Authority :

Digitally Signed by: GURWINDERINDER SINGH
UID/EID : Not Provided
Designation: Marriage Registrar
(Stamp and Sign of certificate printing center) Date: 12 DEC 2023

Location: Sub Tehsil, Garhdiwala,

Hoshiarpur

Disclaimer - "This is a digitally Signed Certificate and does not require hand written signatures. The responsibility of verification of this document, before accepting the
same for any legal purpose would rest with the Institution / Organization / Company or any other entity where this document is produced."
The content of this document can be verified using the document serial number at the following web link
http://esewa.punjab.gov.in/certificateVerification