Re.5/- ANDHRA PRADESH STATE WARF BOARD, HYDERABAD APPLICATION FORM FOR DIVORCE CERTIFICATE Issue No. Dated: TO, The Chief Executive Officer, A.P. State Warf Executive Board, Hyd. (To be filled in Capital Letters) Sir, Sub:- Issue of Divorce Certificate - Reg. I am enclosing here with necessary record for issue of Divorce Certificate. PARTICULARS OF BRIDEGROOM (DULHA) AS PER RECORD NAME : ............................................................................................................................... FATHER'S NAME : ............................................................................................................................... DATE OF BIRTH : (..........................................) or AGE ( ) YEARS OCCUPATION : ........................................................ RESIDENT OF : ............................................................................................................................... PARTICULARS OF BRIDE (DULHAN) AS PER RECORD NAME : ............................................................................................................................... FATHER'S NAME : ............................................................................................................................... DATE OF BIRTH : (..........................................) or AGE ( ) YEARS OCCUPATION : ........................................................ RESIDENT OF : ............................................................................................................................... DATE OF DIVORCE : ........................................................ Yours Faithfully Name & Address : (Receiver's Signature) (FOR OFFICE USE ONLY) VERIFIED AND FOUND CORRECT QUAZZAT : ............................................................... BEARING NO. ..................................... NUMBER OF CERTIFICATES : ( ) URGENT / ORDINARY RECEIPT NO : AMOUNT RS ....................................... DATE : ......................................... CLERK N.Q. ACCOUNT OFFICER CHIEF EXECUTIVE OFFICER M/
