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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/-

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