xokg oj i{k dk Lo;a ?kks"k.

kk i=
eS ---------------------------------------------------------- lqiq=@lqiq=h Jh ---------------------------------- fuoklh ----------------------------------- Ck;ku djrk@djrh gwW fd%&
Jh ----------------------------------- lqiq= Jh ----------------------------------- fuoklh
-----------------------------------

dk

fookg

fnukad

-----------------

dks

fgUnw@eqfLye@flD[k@bZlkbZ ----------------------------------- jhfr&fjokt ds vuqlkj esjh mifLFkfr

esa Jhefr ----------------------------------- lqqiq=h Jh ----------------------------------- fuoklh
-----------------------------------ds lkFk -----------------------------------LFkku esa lEiUu gqvk
Fkk A eSa mDr fookg esa 'kkfey Fkk@Fkh A
fnukad -------------------LFkku-------------------xokg
rLknhd%
rLknhd dh tkrh gS fd mijksDr lHkh lwpuk esjs Kkukuqlkj lgh o nq:Lr gS vkSj
blesa dksbZ rF; Nqik;k ugha x;k gS A
xokg
Self declaration from the witness (Groom side)
I S/o/D/o

Sh. . R/o

.. do hereby declare as under:The marriage of Sh. . S/o Sh. . R/o

..

solemnized

on

as

per

Hindu/Muslim/Sikh/Christian / rituals with Smt. . D/o Sh.

R/o . at in my
presence.
Dated
Place

Witness

Verification

Certified that the above information is true and correct to the best of my
knowledge and belief and nothing has been concealed therein.
Witness

xokg o/kw i{k dk Lo;a ?kks"k.kk i=

eS ----------------------------------------------------------- lqiq=@lqiq=h

Jh -------------------

---------------------------------------- fuoklh ----------------------------------------- Ck;ku

djrk@djrh gwW fd%&
Jhefr ----------------------------------------- lqiq=h Jh ---------------------------------------- fuoklh ----------------------------------------- dk fookg fnukad ------------------------dks fgUnw@eqfLye@flD[k@bZlkbZ --------------------------- jhfr&fjokt ds vuqlkj esjh mifLFkfr esa
Jh ----------------------------------------- lqqiq= Jh ----------------------------------------fuoklh ----------------------------------------- ds lkFk ----------------------------------------LFkku esa lEiUu gqvk Fkk A eSa mDr fookg esa 'kkfey Fkk@Fkh A
fnukad -------------------LFkku-------------------xokg
rLknhd%
rLknhd dh tkrh gS fd mijksDr lHkh lwpuk esjs Kkukuqlkj lgh o nq:Lr gS vkSj
blesa dksbZ rF; Nqik;k ugha x;k gS A
xokg

Self declaration from the witness (Bride side)

I S/o/D/o Sh. ...

R/o .. do hereby declare as under:The marriage of Smt. . D/o Sh. . R/o
.. solemnized on as per Hindu/Muslim/Sikh/
Christian / rituals with Sh. . S/o Sh. R/o
. at in my presence.
Dated
Place
Verification

Witness

Certified that the above information is true and correct to the best of my
knowledge and belief and nothing has been concealed therein.
Witness

FORM No. 1
[See rule 3(3)(a) and 4(a)]
APPLICATION FOR REGISTRATION OF MARRIAGE UNDER THE
HARYANA COMPULSORY REGISTRATION OF MARRIAGES ACT, 2008 (6 OF 2008)
Paste
Joint photo of husband and wife, clearly
showing faces
(3"x2")
Both husband and wife to sign/thumb
impression across their photos.
To
The Registrar of Marriages,
Municipal Corporation, Rohtak.
Please register our marriage, the particulars of which are given below:Sr.
No.

Particulars

1.

Full Name (In Capital letters)

2.

Father's Name

3.

Mother's Name

4.

Nationality

5.

Religion

6.

Complete Postal Address

(With Proof)

7.

Date of Birth
(Proof in the form of Birth
Certificate or School
Certificate or Medical
Certificate indicating age)
Age (in complete years)
as on the date of marriage
Date of Marriage

8.
9.

Details of Husband

Details of Wife

10.

Place of Marriage
(Complete details)

Certified that all information provided in the form is true to the best of my
knowledge and belief and nothing has been concealed therein. It is also certified that this
marriage has not been registered earlier anywhere in India/abroad. We shall be liable for
action as per the law, if we have violated any provision of any law of the land.

Date:
_______________________
Signature of Husband

_____________________
Signature of Wife

Witnesses to the Marriage

1.

Name_______________

2.

Name_______________

Address_____________

Address_____________

____________________

____________________

Signature

Signature

-------------------------------------------------------------------------------------------------------------Proof of Marriage (Attach any one)

1. At least two Wedding Photos,
2. Certificate from Religious institution or priest who solemnized the wedding.
3. Nikah Nama
4. Certificate from Gurdwara.

izk:i 1

[nsf[k;s fu;e 3 3 d rFkk 4 d]

gfj;k.kk fookg vfuok;Z iathdj.k vf/kfu;e] 2008

ds v/khu fookg iathdj.k ds fy;s izkFkZuk i=A

ifr rFkk iRuh dk la;qDr QksVks]

lkQ psgjs fn[kkbZ nsrk gqvkA
lkbZt 3x2
QksVks ij ifr o iRuh nksuks ds
gLrk{kj @ vaxwBk fpUg vafdrA
lsok esa]
fookg iath;d
uxj fuxe jksgrdA
d`i;k gekjk fookg iathd`r djsa] ftldk C;kSjk uhps fn;k x;k gS%&

-la-

fooj.k

1.

iwjk uke cM+s v{kjksa esa

2.

firk dk uke

3.

ekrk dk uke

4.

jk"Vh;rk

5.

/keZ

6.

i= O;ogkj dk iwjk irk

izek.k lfgr

7.

tUe frfFk
vk;q n'kkZrs gq;s tUe izek.k
i=] Ldwy izek.k i=] MkbZfoax
ykbZlSUl] ikliksVZ] dsoy
vui<+ gksus ds dsl esa eSfMdy
izek.k 'kiFk i= lfgr
vk;q

8.

fookg dh frfFk dks] iwjs o"kZ es

9.

fookg dh frfFk

ifr dk C;kSjk

iRuh dk C;kSjk

10.

fookg dk LFkku
iw.kZ fooj.k

izekf.kr fd;k tkrk gS fd esjs }kjk izk:i esa nh xbZ lHkh lwpuk esjh tkudkjh
rFkk fo'okl ds vuqlkj lgh gS vkSj blesa dksbZ rF; fNik;k ugha x;k gSSA ;g Hkh izekf.kr
fd;k tkrk gS fd ;g fookg iwjs Hkkjr rFkk fons'k esa dgha ij Hkh iathd`r ugha fd;k x;k gS A
fdlh fu;e ds mYya?ku ds fy, ge fof/k vuqlkj dkjZokbZ ds fy, mRrjnk;h gksaxsA
fnukad

ifr ds gLrk{kj

fookg ds fy, xokg uke ---------------------------

iRuh ds gLrk{kj
uke ----------------------------

irk -----------------------------

irk-----------------------------

gLrk{kj -------------------------

gLrk{kj ------------------------

fookg dk lcwr dksbZ ,d lyaXu djsa

1234-

fookg ds nks QksVksA

/kkfeZd laLFkk ;k iqjksfgr ftlus fookg vuq"Bkfir djok;k gks] ls lR;kiu izek.k i=A
fudkgukekA
xq:}kjs dk izek.k i=A

'kiFki=
eS --------------------------------------------- lqiq= Jh ------------------------------------- fuoklh -------------------------------------------------- 'kiFkiwoZd C;ku djrk gwW fd%&
1- eSa mijksDr irs dk LFkk;h fuoklh gwWA
2- esjk fookg fnukad ------------------ dks -----------------------------LFkku ij gqvk FkkA
3- eSa vKkurk ok fookg iathdj.k le; ij ugh djok ik;kA
4- eSa fookg iathdj.k gsrw vko;d nsjh 'kqYd nsus dks rS;kj gwWA
5- ;g fookg iwjs Hkkjr o fonsk esa dgha ij Hkh iathd`r ugh fd;k x;k gSaA

'kiFkdrkZ

rLknhd%

rLknhd dh tkrh gS fd mijksDr lHkh lwpuk esjs Kkukuqlkj lgh o nq:Lr gS vkSj blesa dksbZ rF;
Nqik;k ugha x;k gS A
'kiFkdrkZ

fnuakd --------------LFkku --------------AFFIDAVIT

I,_______________________________ S/o Sh. ___________________________________

R/o _________________________________ hereby solemnly affirm and declare as under:1. That I am the resident of above said address.
2. That my marriage was solemnized on ____________________________________
at___________________________________________________________________
3. That the marriage could not be registered due to lack of knowledge in time.
4. That I am ready to pay late fee /charges to get the marriage registered.
5. That the said marriage has not been earlier registered anywhere in India / aboard.
Deponent
Verification
I, the above said deponent do hereby solemnly affirm and declare that the above
statement of mine is true and correct to the best of my knowledge and belief and nothing
has been concealed therein
Date: ___________
Place ___________

Deponent

izk:i IV
nsf[k;s fu;e 3 3 ?k
fookg iathdj.k izek.k i=
ifr rFkk iRuh dh la;qDr QksVks Li"V psgjk n'kkZrs
gq,] QksVks ds mij jftLVkj ds gLrk{kj rFkk eqnzk

izekf.kr fd;k tkrk gS fd Jh ----------------------------------------------------- iq=

Jh--------------------------------------------------fuoklh--------------------------------------------------------------------------dk fookg Jherh----------------------------------------ls fnukad
-------------------dks --------------------------------------------------------------------------------------------------------------------------------------------------------LFkku esa gqvk gSA mDr
fookg dk iathdj.k uEcj------------------------------ fnukad --------------------------- gS A

esjs gLrk{kj rFkk eksgj ds lkFk fnukad --------------------------dks tkjh fd;k x;kA

fookg iath;d
uxj fuxe jksgrdA

Form-IV
[See rule 3 (3) (d)]
Marriage Registration Certificate

Joint photo of husband and wife, clearly showing

faces, Registrar to sign and put seal across
photo.

Certified that Sh.

S/o Sh. ..
R/o . has
been married to smt. on .. (date)
at (Place) . The said
marriage has been registered on (date) vide registration no.
.
Issued under my hand and seal on

Marriage Registrar
Municipal Corporation Rohtak