APPLICATION FORM FOR GETTING BENEFIT UNDER THE SCHEME "ENCOURAGEMENT TO INTER CASTE MARRIAGE. 1. Name of the Applicant (Non-SC) : 2. Husband/Wife's Name (alongwith his/her caste certificate) : 3. Age at the time of Marriage a) Bride b) Bridegroom 4. Residence (Attach proof) : 5. Whether First Marriage of Couple has been solemnized. : 6. Whether your marriage has been legally registered (attach marriage Registration Certificate alongwith photographs). : Date: Signature of the Applicant DECLARATION I, ................. Wd/o Sh. .............. resident of ............... do hereby solemnly affirm and declare that the information/ particulars given above are correct to the best of my knowledge and belief and nothing has been concealed therein. Signature/ Thump-impression of the Applicant Dated: (Attestation by Executive Magistrate/ Gazetted Officer/ Notary Public/Oath Commissioner)
