ANNAI TERESA ORPHAN GIRL MARRIAGE FINANCIAL ASSISTANCE SCHEME 1 Name and address of the orphan girl : 2 Details of death of father & mother of the orphan girl a. Name b. Date of death c. Place of death d. Reason for death : 3 Guardian's name and relationship to the orphan girl : 4 Details of brothers / sisters of the orphan girl Brother Name Sister Age name : 5 Age of the orphan girl to be married : 6 Occupation / Income of the orphan girl : 7 Bridegroom's name & address : 8 Purpose of financial assistance requested : 9 Place and date of marriage : Place: Applicant's Signature Date: (Bride) Certificates to be enclosed:- 1. Death certificate of father & mother or orphan certificate 2. Income certificate from Tahsildar (Income limit Rs.12000/- per annum) 3. Marriage Invitation 4. Age proof of the bride 5. Bride's photograph Bills towards purchase of marriage articles for Rs.1000/-