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The Marriage officer,

(A.D.M-II) Jaipur,
Dist. JAIPUR

Sub: - Registration of Marriage under Section 15 Special Marriage Act1954.

Sir,
Having fulfilled the following condition as required:

We Rajat Sharma S/o Dr. L.C. Sharma age 33 years residing at B-40, Dev
Nagar, Tonk Road, Jaipur and Mrs. Mukta Sharma D/o S.N. Sharma age 29 years
residing at 559-A/1, Shantipura, Ajmer(Raj.) do hereby apply for the registration of
our marriage under section 15 of the Special Marriage Act 1954 (Act No. 43 of
1954)

1. A ceremony of marriage has been performed between us on Dt. 28-02-2000 at


Laxmi Vilas Hotel, Jaipur we are living together as husband and wife ever since.
2. Neither of us has more than one spouse living.
3. Neither of us has is an idiot or lunatic.
4. Each of us has completed the age of leagally.
5. We are not in the degree of prohibited relationship.
6. Both of ours permanent residential address is B-40, Dev Nagar, Tonk Road,
Jaipur.
7. We hereby declare that whatsoever is stated above is true and correct to the best
of our knowledge and belief.

Signature Signature
Husband Wife

Address Address
B-40, Dev Nagar, B-40, Dev Nagar,
Tonk Road, Jaipur Tonk Road, Jaipur

Date:
--:AFFIDAVIT:-

I, Puneet Agarwal S/o Shri Buddha Ram Gupta age 25 years, R/o 3 Ka 10,
Housing Board, Shastri Nagar, Jaipur do hereby solemnly declare on oath as under:-
1. That my marriage took place on Dt. 24-03-2004 at Arya Samaj Moti Katla,
Jaipur with Jyotsana Mathur after marriage Jyotsana Agarwal D/o Shri Chandra
Prakash Mathur W/o Shri Puneet Agarwal age 20 years, R/o C-82, Model Town,
Malviya Nagar, Jaipur according to Hindu Marriage Customs.
2. That I and my wife are not sapind as of each other.
3. That I am not within the degree of prohibited relationship with my wife.
4. That I have no spouse living at the time of the marriage.
5. That I have completed the age of 21 years.
6. That I am capable of giving a valid consent at the time of marriage.

DEPONENT

VERIFICATION

I, Puneet Agarwal the above named deponent do hereby solemnly declare on


oath that the above mentioned facts in para 1 to 6 are true and correct to the best of
my knowledge and belief and nothing material has been concealed there from.
PLACE :- JAIPUR
DEPONENT

Dated :
--:AFFIDAVIT:-

I, Smt. Jyotsana Mathur after marriage Jyotsana Agarwal D/o Shri Chandra
Prakash Mathur W/o Shri Puneet Agarwal age 20 years, R/o C-82, Model Town,
Malviya Nagar, Jaipur do hereby solemnly declare on oath as under:-
1. That my marriage took place on Dt. 24-03-2004 at Arya Samaj Moti Katla,
Jaipur with Puneet Agarwal S/o Shri Buddha Ram Gupta age 25 years, R/o 3
Ka 10, Housing Board, Shastri Nagar, Jaipur According to Hindu Marriage
Customs.
2. That I and my husband are not sapind as of each other.
3. That I am not within the degree of prohibited relationship with my husband.
4. That I have no spouse living at the time of the marriage.
5. That I have completed the age of 21 years.
6. That I am capable of giving a valid consent at the time of marriage.

DEPONENT
VERIFICATION

I Jyotsana Agarwal the above named deponent do hereby solemnly declare


on oath that the above mentioned facts in para 1 to 6 are true and correct to the best
of my knowledge and belief and nothing material has been concealed there from.
PLACE :- JAIPUR
DEPONENT

Dated: 07.07.04

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