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SPECIAL MARRIAGE ACT 1954 (43 OF 1954) THE SECOND SCHEDULE (See Section 5) INTENDED MARRIAGE

To, Marriage Officer for Thrissur We hereby give notice that a marriage under the Special Marriage Act, 1954, is intended to be solemnisde between us with in three calendar months from the date hereof.
Name & Fathers Name Condition Occupation Age Dwelling Place Permanent dwelling place if present dwelling place not permanent Length of residence

Witness our hands this day of . 20


1. .. 2. .. 3. Signature (with Date) 1) 2)

Forward to Sub Registrar On

Marriage Officer Thrissur

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