Document 6568912

Re-Marriage Application Form
On the occasion of Christmas Puja, Ganapatipule, 2014
Please fill out form in full. If details are not complete, your application may not be accepted. Fill out in duplicate (x2).
Coordinators to retain a copy for future reference. (Only submit one application form per Married Couple)
This application is for married couples who would like to receive the blessing of a Sahaja Marriage. Please confirm that you are already
legally married by providing the date and place of your wedding as well as any other details and documents (Enclose a copy of Marriage
Registration certificate if the marriage is registered).
Date of marriage:
DD/MM/YYYY
Marriage took place in which City/State/Country:
Any other details you may like to provide:
What is the purpose of this re-marriage?
Will you both be coming to Ganapatipule for Christmas Puja?
For Husband:
Title: Surname:
Passport no:
YES/ NO
First Name:
Date of Birth:
Please affix color
passport type
photograph on each
copy
Email:
DD/MM/YYYY
Husband’s signature:
Date:
Signature
DD/MM/YYYY
For Wife:
Title: Surname:
Passport no:
First Name:
Date of Birth:
Please affix color
passport type
photograph on each
copy
Email:
DD/MM/YYYY
Wife’s signature:
Date:
Signature
DD/MM/YYYY
Home Address:
Flat/Plot no:
Building Name:
Town/City:
Phone no:
Include Area Code
Street/Road:
State:
Pin code/Zip Code:
E mail:
Signature of Centre/City/State/Country coordinator
I certify this person’s application
FULL NAME
Signature
Date:
Phone Number:
Email:________________________________________
Country: