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SCHEDULEA

FormofapplicationfortheRegistrationofMarriageunderthe
HinduMarriageAct1955(SeeRule9)
TheRegistrarforRegistrationofMarriageunder
theHinduMarriageAct1955
I.............................................S/o.............................................doherebyapplyforthe
registrationofmymarriageunderSection8oftheHindumarriageAct1995.
TheparticularsoftheMarriagearegivenbelow:

PARTICULARSOFBRIDEGROOM
1.DateofMarriage
2.PlaceofMarriage
3.NameofBridegroom
4.Father'sName
5.Usualplaceofresidence

6.Fulladdress

7.i)AgeatthetimeofMarriage
ii)DateofBirth
8.Civilconditionatthetimeof
marriage(whetherwidowerdivorced)
orunmarried

PARTICULARSOFBRIDE
1.Name
2.Father'sName
3.Usualplaceofresidence
4.Fulladdress

5.i)AgeatthetimeofMarriage
ii)DageofBirth
6.Civilconditionattimeof
marriage(whetherwidowdivorced)
orunmarried
Place

Signatureoftheapplicant

MARRIAGECERIFICATE
SCHEDULED
FORMOFEXTRACTFROMHINDUMARRIAGEREGISTER(Seerule18)
1.

NameofApplicant

2.

Dateonwhichapplicationmade

3.

DateofMarriage

4.

PlaceofMariage

PARTICULARSOFBRIDEGROOM

PARTICULARSOFBRIDE

1.Name:

1.Name:

2.Father'sName:

2.Father'sName:

3.UsualPlaceofresidence:

3.UsualPlaceofresidence:
(Beforemarriage)

4.FullAddress:

4.FullAddress:
(AfterMarriage)

5.a)Ageatthetimeofmarriage:

a)Ageatthetimeofmarriage:

b)DateofBirth

DateofBirth

6.Civilconditionatthetimeof

Civilconditionatthetimeof

marriage(Whetherunmarriedor

marriage(Whetherunmarriedor

orwidowordivorced)

orwidowordivorced)

Registered

No................................

on

date

....................................

day

of

.....................................2007 Certified that the above which contains the entry form
No........................regardingBridegroomNo.................................toNo..............................and
regarding Bride No............ ........... to No......................... is true extract of all the entries in
theHinduMarriageRegister.

REGISTRAROFMARRIAGE

SELFDECLARATION

I,............................................S/D/o..........................................R/o.....................
.........................................doherebysolemnlyaffirmanddeclareasunder:

1)

ThatIampermanentresidentofabovesaidaddress

2)

Thatmydateofbirthis............................

3)

ThatIhavegotmarriedwith...................S/D/o......................................
...........................R/o........................................................withmyown
consentandwithoutanypressureonmeat....................................on
dated.........................................................................

4)

ThatIhavenoprohibitedrelationmywife/husbandbeforethemarriage

5)

ThatIwanttogetmymarriageregistered.

6)

ThatIwasUnmarried/Divorcee/widow/Widoweratthetimeofmarriage

Deponent
Verification:
Thattheabovesaiddeclarationistrueandcorrecttothebestofmy
knowledgeandbeliefandnothinghasbeenconcealedtherein.

Deponent

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