Certificate of Termination of Live-in Relationship

QR Photo of Woman Photo of Man Annexure 37 Certificate of Termination of Live-in Relationship [Under Rule 6(5) (e) (i) and 6(5)(e)(ii) of The Uniform Civil Code Rules, Uttarakhand, 2025] Termination Number This is to certify that based on the statement of termination of live-in relationship dated (Date of Submission of Statement) submitted by Ms. (Name of Woman) D/o Mr. R/o , and/or Mr. (Name of Man) S/o Mr. R/o , their statement of termination of live-in relationship has been registered under The Uniform Civil Code, Uttarakhand, 2024. According to the particulars supplied by her/him/them, the live-in Relationship has been terminated on (Date of Submission of Statement of Termination of Live-in Relationship). This registration certificate is a public record and a valid proof of the termination of the live in relationship for legal purposes. Date - Details of Registrar/Registrar General Name - Jurisdiction - Contact Number - Signature Registrar/Registrar General