Application Form For Arundhati Scheme

Arundhati Scheme Eligibility Criteria

* Marks fields are Mandatory

Social Community:

Annual Family Income:

Is Your Marriage registered under Special Marriage Act, 1954?

Yes No

Is it your First Marriage?

Yes No

Have you passed at least HSLC or equivalent Exam?

Yes No

District Name:

Sub Registrar Office(SRO):

Applicant Details

Applicant (Bride's) Name:

Groom's Name:

Father's Name of Bride:

Mother's Name of Bride:

Address :

Pincode :

Aadhaar No:

Marriage Registered at:

Marriage Registered By:

Marriage Certificate No:

Date of Marriage Solemnised:

Date of Birth Bride:

Date of Birth Groom:

Email Id of Bride:

Mobile No of Bride:

Bank Details

Applicant Name In English as Per Bank Passbook:

Bank Name:

Branch Name:

Bank Account No of Bride:

IFSC Code:

Declaration by The Applicant

I hereby declare that all the particulars furnished in this application are true, correct and complete to the best of my knowledge and belief. In the event of any information being found false or incorrect or ineligibility being detected before or after the verification, action will be taken against me by the Revenue and Disaster Management Department,Govt of Assam as per laid down rules.I also assure that the amount received under this scheme will be utilised for purchase of Gold only.

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