DR DHARMAMBAL AMMAIYAR WIDOWS REMARRIAGE FINANCIAL ASSISTANCE APPLICATION FORM 1 Serial No : 2 Bride's Name : 3 Bride groom's name & address : 4 Nature of remarriage : 5 Date of remarriage & time : 6 Place of remarriage : 7 Whether marriage as per customs : Yes / No 8 Registered : Yes/ No 9 Witness details : 10 The name & address of the person under whose presence marriage was conducted : 11 Bridegroom's Nationality / Religion : 12 Bride Nationality / Religion : 13 Occupation : 14 Bride 1st marriage details : i) Name of the husband ii) Address iii) Occupation iv) Date of death 15 Whether Family Pensioner or recepient of Exservicemen pension, If so details for enquiry : 16 Bride's Father / Guardian i) Name ii) Address iii) Occupation 17 Bridegrooms father / guardian i) Name ii) Address iii) Occupation Bridegroom's signature with date Bride's signature with date Certificates to be enclosed:- 1. First husband's death certificate and widow certificate from Tahsildar 2. Remarriage photos 3. Age proof of the couple (Bride & Bridegroom separately) 4. Certificate to prove first marriage of the bridegroom from Tahsildar or from MLA 5. Marriage invitation