It's prefixed with Gro- (for a male) and Gra- (for a female), and followed by their father's name (for a male) or mother's name (for a female), according to UESP.net
But elderscrolls.wikia.com says this:
If an Orc leaves the province of Orsinium or Stronghold they're from, their surname will be the Stronghold/province they're from, prefixed with gra- (female) or gro- (male), for example, http://elderscrolls.wikia.com/wiki/Moth_gro-Bagol and http://elderscrolls.wikia.com/wiki/Ghorza_gra-Bagol (both from the same province).
So what's correct? Or how should a roleplayer create a family name for his orc?