Mukhya Mantri Vivah Shagun Scheme

To
District Welfare Ocer/Tehsil Welfare Ocer.
My daughter's wedding is going to take place on 11/09/2016
46000

Name of Bride :

So I want to make a request to issue an amount of Rs

Under the scheme of Mukhya Mantri Vivah Shagun Scheme.

Jatinder Kaur

Date of Birth :

09/11/1996

Sec 5 Karnal

I hereby declare that the above menoned parculars are true to the best of my knowledge. If any discrepancy found I will
return the issued amount with ne to the Government.If wedding would not take place on the above menoned date then i
will return the issued on amount to the Government. I am also liable for any punishment for any wrong informaon.
Signature of applicant :

Signature of father/Mother

For Oce Use Only

This is to verify that Shri/Smt.

Caste

S/o W/o

B.P.L number

Village

Tehsil

Kumari/Divorcee/widow

second daughter's marriage.For the rst daughter's marriage Rs

been sanconed.so it is equested to pay amount of Rs

Applicant's voter card number/photo ID

proof :

Belongs to Mohalla

The marriage of his daughter

has been xed on Dated

This is applicant's rst or

Dated

to an applicant

Ocer/Assistant Account Ocer

has