Appendix 2 to

Annex D to

BGNSI 12.10

Dated 31 May 19

Head of Veteran Services

British Gurkhas Pokhara

BFPO 4

Telephone: 061 567280

Email: BGN-RecordsOfficeGroupMailbox@mod.gov.uk

REQUEST FOR DIVORCE/ELOPEMENT REGISTRATION

Part 1 – To be completed by Ex-serviceman/ Widow

I/ Widow of	ENTER A/NO	SELECT RANK	ENTER FULL NAME HERE
(Number)	(Rank)	(Name)

request to remove wife(ves) as listed below from my/ husband’s Kindred Roll due to divorce:

Name	Date of Birth	Date of Divorce	Wife No (1st, 2nd, 3rd etc.)	Remarks
FIRST name	SELECT DOB	SELECT DATE	NUMBER	ENTER TEXT
FIRST name	SELECT DOB	SELECT DATE	NUMBER	ENTER TEXT
FIRST name	SELECT DOB	SELECT DATE	NUMBER	ENTER TEXT

I have enclosed 1 x passport size photo(s) each of the above named individual(s).

My (ex-serviceman/widow) current address and contact telephone number(s) are as follows:

Village/House No:	ENTER VILLAGE	Ward No/Street:	WARD/STREET
GP/NP/Town:	ENTER GP/NP/TOWN	Post Office/Code:	POST OFFICE
Dist/County:	ENTER DISTRICT	Province/State:	ENTER ANCHAL
Tel:	ENTER TEL NUMBER	Email:	ENTER EMAIL

Divorced wife’s current address and contact telephone number(s) are as follows:

Village/House No:	ENTER VILLAGE	Ward No/Street:	WARD/STREET
GP/NP/Town:	ENTER GP/NP/TOWN	Post Office/Code:	POST OFFICE
Dist/County:	ENTER DISTRICT	Province/State:	ENTER ANCHAL
Tel:	ENTER TEL NUMBER	Email:	ENTER EMAIL

The above declaration is true and genuine. If for any reasons, the divorce or elopement is found or proved to be a sham or false marriage, I shall be liable for any punishment decided by British Gurkhas Nepal.

Signature:	Date:	SELECT DATE

Rank:	SELECT RANK	Name:	Enter FULL name HERE

Part 2 – To be completed by the Divorced Wife

I, Mrs	ENTER FULL NAME HERE	confirm that I have legally
divorced to my husband on	SELECT DATE	and I am content with the divorce proceedings

and will not be claiming his pension in the future.

Signature of Divorced Wife:	Date:	Enter DATE

If the ex-serviceman cannot get the divorced wife to complete this part, a Pension Relinquishment Letter confirming the divorce from her would suffice.

Part 3 – To be completed by SAWO/A/AWO/A/HGW/A/BWO/EO-RECORDS/GVAC/ DVAC/ VSO

This is to confirm that I have read out and briefed the contents of above paragraphs to the above named Ex-Serviceman and claimed wife. The couple has declared and signed the statement in my presence.

Ex-serviceman’s Photograph	Divorced Wife’s Photograph

Note: SAWO/A/AWO/A/HGW/A/BWO/GWA/EO-RECORDS/GVAC/DVAC/VSO are to verify and sign across all the photographs affixed above.

GVAC/DVAC Stamp RECORDS Stamp AWC Stamp GWAC, UK Stamp

SAWO/A/AWO/A/HGW/A/BWO/EO-RECORDS/EO-GVAC/DVAC/VSO Remarks.

Click here to enter text

Signature of SELECT :	Date:	Enter DATE

Rank:	SELECT RANK	Name:	Enter Officer’s name