Appendix 1 to

Annex C to

BGNSI 12.10

Dated 09 Jan 20

Head of Veteran Services

British Gurkhas Pokhara

BFPO 4

Telephone: 061 567280

Email: BGN-RecordsOfficeGroupMailbox@mod.gov.uk

REQUEST FOR MARRIAGE REGISTRATION

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

I/ widow of	Army No:	ENTER A/NO	Rank:	SELECT RANK

Name:	ENTER FULL NAME HERE	Unit:	SELECT UNIT

Name of widow (if applicable)	ENTER FULL NAME HERE	request to register my

Wife (ves) as listed below on my Kindred Roll:

Name	Date of Birth	Date of Marriage	Wife No (1st, 2nd, 3rd etc.)	Wife’s Father’s Name
FIRST name	SELECT DOB	SELECT DATE	FIRST name
FIRST name	SELECT DOB	SELECT DATE	FIRST name
FIRST name	SELECT DOB	SELECT DATE	FIRST name

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	Post Office:	POST OFFICE
Dist/County:	ENTER DISTRICT	Province/State:	ENTER ANCHAL
Tel:	ENTER NUMBER	Email:	ENTER EMAIL

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

Right	Left	Right	Left
THUMB PRINT: HUSBAND	THUMB PRINT: 1ST WIFE

Signature:	Signature:
Date:	SELECT DATE	Date:	SELECT DATE

Right	Left	Right	Left
THUMB PRINT: 2ND WIFE	THUMB PRINT: 3RD WIFE

Signature:	Signature:
Date:	SELECT DATE	Date:	SELECT DATE

Part 2 – To be completed by SAWO/A/AWO/A/HGW/A/BWO/EO-RECORDS/EO-GVAC/DVAC/VSO

I have read out and briefed the contents of above paragraphs to the above-named Ex-serviceman/ Widow and claimed wife (ves). They declared and signed the statement in my presence.

Photograph	Photograph	Photograph	Photograph
Ex-serviceman	1st Wife	2nd Wife	3rd Wife

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

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

Signature of SELECT :	Date:	SELECT DATE
Rank:	SELECT RANK	Name:	Enter Officer’s name