State e-Services Portal | Bhubaneswar Me

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FORM - B

Application for Registration of Marriage under the Hindu Marriage Act, 1995

Marriage Details

Applicant Name*

Enter Applicant Name

Applicant Mobile No.*

Enter Applicant Name

Applicant Email ID

Enter Applicant Email ID

Marriage Date*

Enter Marriage Date

Apply for*

Select Apply for

Certificate No.

Enter Certificate No.

Place of Residence*

Enter Place of Residence

Appointment Date*

Enter Appointment Date

Complete address of marriage location*

Enter Complete address of marriage location

Priority Type*

Select Priority

Applicant is*
Bridegroom Bride
Select Applicant Type

Enter your Area / Locality *

Sub-Zone *

Ward *

Bride & Groom Details

Bride Details

Bride Name*

Enter Bride Name

Mobile No.*

Enter Bride Mobile No.

Date of Birth*

Enter Date of Birth

Age on Marriage*

Enter Bride Age on Marriage

Father's Name*

Enter Father's Name

Mother's Name*

Enter Mother's Name

Bride Address*

Enter Bride Address

Guardian RelationShip With Bride*

Enter Bride Relationship with Guardian

Guardian Name*

Enter Guardian Name

Same as Bride's Address Others

Guardian Address*

Enter Guardian Address

Guardian Mobile Number*

Enter Guardian Mobile Number

Guardian Email

Enter Guardian Email

Groom Details

Groom Name*

Enter Groom Name

Mobile No.*

Enter Mobile No.

Date of Birth*

Enter Date

Age on Marriage*

Enter Age on Marriage

Father's Name*

Enter Father's Name

Mother's Name*

Enter Mother's Name

Groom Address*

Enter Groom Address

Guardian RelationShip With Groom*

Enter Groom Relationship with Guardian

Guardian Name*

Enter Guardian Name

Same as Groom's Address Others

Guardian Address*

Enter Guardian Address

Guardian Mobile Number*

Enter Guardian Mobile Number

Guardian Email

Enter Guardian Email

Witness Details

Name of Witness 1*

Enter Name of Witness 1

Mobile No.*

Enter Witness 1 Mobile No.

Address*

Enter Witness 1 Address

Name of Witness 2*

Enter Name of Witness 2

Mobile No.*

Enter Witness 2 Mobile No.

Address*

Enter Witness 2 Address

Bride Photo*

Groom Photo*

* Image size should be within 50 KB & resolution must be between 200x200 and 400x400

Bride Birth Proof*

(file type : jpeg, jpg, png, pdf Max. Size 5MB)

Parent ID Proof of Bride

(file type : jpg, png, pdf Max. Size 5MB)

Groom Birth Proof*

(file type : jpg, png, pdf Max. Size 5MB)

Parent ID Proof of Groom

(file type : jpg, png, pdf Max. Size 5MB)

Groom ID Proof*

(file type : jpg, png, pdf Max. Size 5MB)

Bride ID Proof*

(file type : jpg, png, pdf Max. Size 5MB)

Invitation card*

(file type : jpg, png, pdf Max. Size 5MB)

Joint Photo of Bride and Groom*

(file type : jpg, png, pdf Max. Size 5MB)

Affidavit*

(file type : jpg, png, pdf Max. Size 5MB)

Residential Proof of Bride/Groom*

(file type : jpg, png, pdf Max. Size 5MB)

Read terms & conditions

Registration Number

Enter Registration Number

Booking Type

Select Booking Type

Total Amount

Enter Total Amount

Email ID

Enter Email ID

Phone No.

Enter Mobile Number

Payment Gateway

Please 'Click' on the button to continue

You can check your application status using

Application No. :

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