THE IHIRD SCHEDULE
(s€e section ll ofthe 5peclal Marrlage Act)
DECLARATION TO BE MADE BYTHE BR]DEGROOM
,r., ...1(a.x'i.i.t.rtl ldoJ,tt , s/0. fi[,
'",r.", "i"in jrrorr*6
s: dsl
i:l- a:r.d
lz&\tai
^shrade,o, nurari+a, ?,s, Wn
' A 6q'/v1+ P't'r'- lBiZgA
el,art'
1e.ebv decra re as Io ' ff-l'n ' '
the case mav be
1 I am at the pres€nt time unmarl€d (or a wldowsr or a divorc€€' 3s
)
z. havecompreted 22- v"uu ot ue" DoILA&dtd't' Z4-oZ'ZoAZ'
3.lam not related to
(rhe bide)wlthln the degre€3 of pro hlblled relatlonship
lf ln maklng5uch statemenl l
4.lam aware that. if anY stalement ln lhis decl3ration ls false, and
I afi ll'blF rn iaorisonrent dld
eltherkno\i/or believe h Io be fa,se or oo 10l believe lt to bc true,
ktfulhullglam
Signature ol Sddegtoan
DICLARATION TO 8E MADE EYTHE ERIOE
r. s.tq6{a} 166r Kf^r*u,L. Ab, kaypn, Ah
nes de^t or vf tt, 9i i l,ba, i. r, r,
s'*' #W*
E"i{#l'\'s' HalifllnPi'<41d3e
;;;":,,#,:EIn [iii|"who, A+eo.v,+'
the cate mav be )
ram at the presenl time unma.rled {ora wldowcror' divorcee'
as
1-
2. thave comprered 19 v".^ *
"g.. !afa66 b\fJ- g'tz'zaA-
3 I am not related to
hlp'
Ithe b degroom) withln I he degr€es of prohlbll€d relatlonr
and )l ln maklng such slaiement I either
.m aware that,lfanvdatement in thls declaratlon ls false'
4. I
ar tble to rmplgonment ard lo
lnow or be.ieve n Io be lslse or do no! bel'eve lr to b' true' I
I
'ko
,ile kqlr".orx,-Khofu^
Slgndtr:te al the bttde
Signed inou ptesence by the obove nome.l
Aifct osw. owarc that thare i5 no td'9lul inP.din'nt ?o the fiot'looe
t. u,*" ns),trq' 0 A.l)
s/o @ t'\Lt frU' p+-u. p,o,\.tam*itra. p,s,
rl,,t
aaa,"* ,iijl'fiffirvi+; nt_Lrtrcj^ar,
2 Non'e casl, zd-r'*oi 34t'ru' A g€o.t^4" '
svLIN^{ iddirr-", syo, tuda{ 4r;'vill, l,qafilvi{a P4-:t'
'lir,"*, P.o' >Wrarril+a,'p,s , Iin rehar, *-, *, v^,,gn Vwn, assc
3 N.^" Ko\-RJ{ Lt4
'l:*W.:, -ro-'t''*Y 44r
v'll'
Nwrarvlla ?+-fr'
P,4, Not{N{i+^.
?,s, W*rlot,
*rS+' Vo'ga"naa'rl"
AsSant,
r.rlo' ll
^xilauBllt
rl..
*mrcr oi uruoro rutrreor
,fl. o**.,"-,n. [o 'g)s-,' efihirS;ovt ' e*^/&i:*"' ro bs so'n''ed
".",* '! acL rera lncr d'd
*';,,t=i*t**,*t*t,*l;r'.i:;:ii';:'":lt?''xi'r'a'
;;;";";;, -*. r<qim*q telu"n' ?o' Asb'rau Ati
lYdr) 22 yr-A'lr€ '
^s.
pla i' nol Pzm6'n!
P.rd6.nr d@lli4 Plaa i' pEant dwllin!
L.nslh or .1 rh' pcs'nt dwtllin8 plad
'.sd.nd
BR]DECROOM
.,, r-rrnirn+.-{..1 9(a;'zt '
A)n '
",o,Mfiatl-
ul*dill wiao*'lo,vorc.c
^s' zz
P'}:.3.:
,1,
' *9eat't '
t5 L^'/a
f^t|/'nd'
Srsnatur. oIBrd.Sroom
E-E!E
Kaila.aar Khol:aw
Koy.ad *li
lq Yt-o''r€ .
vill SiiLtbMtl .
ro [lr+i
+ati6.ao+r,,
'
tar
""
od ' Kr^-rn rlLlp ltbfia ' '
unkadar w,ao* lo*o,t*
L.4th E$d.ne a! lh' p*s'n! d*'llila pla€
or
talrrwutc I.["*'-*
ANNEXURE.IV
Intended Merrisge
OATH
t \,1 ..|<aa::mun &l^m''
i:'x'*'
:*:ffi,M##,:ffii Pi a <Go3e1
!s my lawful wife fron lodrY'
,,,"",,,.(-ABIMU
t lS L AvI
*"ula4ur
(Nam. ln CaPiIal L'l1er)
,t^,"*{rVaplwi
l, smri KaJairant
Daughlcr of..
Rs;
a;#di'i
'.. \g.Latrb " '
.Pt-e. g'o' *i*a, e,g' lb'tu6e1\a6 '
A€9ar,r1
ff;illflrlr,|^tl[IIUN
Bridc
1r,
"^,"aln (Name in CaPitul L.tl'r)
"*"frbwlv,i
