Schedule-5
(Relating to Rule 5)
Divorce Notification Form
(To be filled by the informer)
To the Local Registrar,
Ward No————————-Rural municipal/Municipality.
————————————-District, —————-Province
Dear Sir,
I have appeared to give information of divorce, setting out the following details. It is requested that the divorce be registered according to the law.
- Details relating to divorce.
(A) Type of court making decision of divorce:
District Court ______ High Court _____ Supreme Court_________
Address of Court: Province ________
Rural Municipality/Municipality: ____ Ward. No ______
Number of decision of the court:_____________
(B) In case of a foreign court:
Name/Country/Province/Local Address of the court (In Nepali)
Name/Country/Province/Local Address of the court (In English)
(C) Date of the decision of the court:
[B.S] (yy/mm/dd): _____ [A.D] (dd/mm/yy)_________
(D) Marriage Registration No.:
- Details of Husband/Wife
| Details of Husband | Details of Wife | |||||
| Full Name [In Nepali] | ||||||
| First Name | ||||||
| Middle Name | ||||||
| Surname | ||||||
| Full Name [In English] | ||||||
| First Name | ||||||
| Middle Name | ||||||
| Surname | ||||||
| Date of Birth | ||||||
| In B.S [YY-MM-DD] | ||||||
| In AD [DD-MM-YY] | ||||||
| Citizenship Number /Birth Registration Date | ||||||
| In the case of foreigner, passport number and date of issue, and country | ||||||
| Address prior to divorce | In Nepali | In English | In Nepali | In English | ||
| Province | ||||||
| Rural Municipality/Municipality | ||||||
| Ward No. | ||||||
| Road/street | ||||||
| Village | ||||||
| House No. | ||||||
| Education | ||||||
| Occupation | ||||||
| Religion | ||||||
| Jatjati | ||||||
| Grandfather’s name/surname (in Nepali) | ||||||
| First Name | ||||||
| Middle Name | ||||||
| Surname | ||||||
| Grandfather’s name/ surname (in English) | ||||||
| First Name | ||||||
| Middle Name | ||||||
| Surname | ||||||
| Father’s name / surname (in Nepali) | ||||||
| First Name | ||||||
| Middle Name | ||||||
| Surname | ||||||
| Father’s name / surname (in English) | ||||||
| First Name | ||||||
| Middle Name | ||||||
| Surname | ||||||
| Mother’s name/ surname (in Nepali) | ||||||
| First Name | ||||||
| Middle Name | ||||||
| Surname | ||||||
| Mother’s name / surname (in English) | ||||||
| First Name | ||||||
| Middle Name | ||||||
| Surname | ||||||
| Date of solemnization of the marriage | ||||||
| In BS (Y-M-D) | ||||||
| In AD (D-M-Y) | ||||||
| Number of offspring from marital relation | ||||||
- he informer’s details:
Covenanting that the details mentioned herein are true and correct, and if proved false, I shall bear and pay, I, the informer, herby sign:
First name __________ Middle Name_______ Surname_________
Address:_______
Province: _________ Rural Municipality/Municipality________
Ward No ________ Road________
Village/Tole: ________ House No.:__________
(If Nepali) Citizenship certificate number/identification number:
If foreigner, passport number (in Nepali)
Name of the country of issue:
If foreigner, passport number (in English):
Name of the country of issue:
Date when form filled up:(Y -M -D)
(To be filled up by the Local Registrar)
| Local Registrar’s name: | |
| Employee ID No. | |
| Form registration number: | |
| Form registration date: | |
| Record number of the family: | |
| Office (Rural Municipality/Municipality/Ward No.): |
Documents to be attached:
- Copy of the informer’s citizenship certificate:
- Copy of judgment by the court granting divorce: