Registration Details

1. Status of live-in relationship* ☐ Partners already in a live-in relationship ☐ Persons intending to enter into a live-in relationship. 2. Select the location of the registrants* ☐ Persons staying within the territory of Uttarakhand ☐ Resident(s) of Uttarakhand staying outside the territory of Uttarakhand but within the territory of Bharat. 3. Which of the Partners is a Resident of Uttarakhand?* ☐ Woman ☐ Man ☐ Both ☐ None. Note - If chosen Both then "Woman and Man" have to select the Category of Residency separately. • Category of Residency of Woman/Man? * ☐ Permanent Resident under the Notification issued by the State Government in this regard. Select Proof of Permanent Residency * ☐ Domicile Certificate ☐ Permanent Resident Certificate (Attach a Copy of Certificate chosen as Residency Proof). ☐ Permanent Employee of the State Government or its Undertakings/Entities. · Select Proof of Permanent Employment with State Government* ☐ Certificate from Employer ☐ Other Documentary Proof of Employment (Attach Copy of Employment Proof). ☐ Permanent Employee of the Central Government or its Undertakings/Entities, employed within the Territory of Uttarakhand. · Select Proof of Permanent Employment with Central Government* ☐ Certificate from Employer ☐ Other Documentary Proof of Employment (Attach Copy of Employment Proof). ☐ Residing in the State for more than One Year. Select Proof of Residency* ☐ At least One Year Old Electricity/Water Bill ☐ Relevant Extracts of Passport ☐ Rent Agreement along with at least One Year Old Tenant Verification Certificate (Attach Copy of Chosen Option as a Residency Proof) (If chosen Rent Agreement along with at least One Year Old Tenant Verification Certificate) Tenant Verification Number * (Attach a copy of Rent Agreement along with One Year Old Tenant Verification Certificate). ☐ Beneficiary of any Scheme of the State Government or the Central Government, applicable in the State. Select Proof of Beneficiary Status* ☐ Beneficiary Card issued by State/Central Government ☐ Beneficiary Number. ☐ Any Other Valid Document supporting the Claim (Attach a Proof of Beneficiary) If chosen Beneficiary Number (Attach a copy of Beneficiary Card along with Beneficiary Number). 4. Shared Household Ownership Status* ☐ Owned ☐ Rented ☐ No Place (If chosen No Place) District * Sub-Division *