Marriage Date Is More Than 1 Year ? Yes No
i. Disability Certificate Issued by District Medical Board as notified by the Government : Yes No ii. Marriage Registration Certificate issued by the competent Registration Authority of Marriages : Yes No iii. Residential certificate issued by the Tahsildars/Residential proof Yes No iv. Proof of joint account of husband and wife along with Bank authorization for e-transfer of the fund Yes No
We certify that the information furnished are true and correct. We also certify that we have not claimed the Marriage Incentive Award previously. If in any case, the information submitted by us are proved to be wrong at any time, we understand we are liable for prosecution entailing of Rs. 1,00, 000/-, imprisonment up to 2 years and recovery of Marriage Incentive Award paid along with 12% interest thereon.
