oint Photo of the Bde and Bridegroom, ‘Tobe attached by Brite and Bridegroom) FORM NO. 1 [See Rule 4} MEMORANDUM OF MARRIAGE 2 Place of Marriage (with suficient particular w loose the place) 3G) Full name of the Bridegroom (0) Name ofthe Father (6) Name ofthe Mother (@) His age (e) Usual place of residence (0 Address ‘ (@ Status of Bridegroom at the tne cofmariage Unmarried /Widow / Divorced (h) Signature ofthe Bridegroom with sate i (6) Name of the Father (e) Name ofthe Mother (@) Her age (@) Usual pace ofrestisnce (0 Addzess (@ Status of Bridegroom at the time of marriage Unmarried / Widow / Divorced (ty Signature of the Bride wath sate 5) Full name of Witness {Speciy the Blood relation f any sw the Bride or Bridegroom) ©) Mis /Merage (@) Usual place of residence (a) Address fe) Signature of the witness, with © Ga) Fullname of Witness {Speaiy the Blood relason f any ‘with Bride or Bridegroom! 0) Mis /Herage (e) Usual place a residence (a Address (0) Signature of tbe witness, wats Pull name of Witness [Specify he Blood reason f any th the Bride or Bridegroom (0) His / Her age (0) Usual pace of residence (a) Addeess s| & fe) Signature of the witness, wathMARRIAGE CERTIFICATE NO. FORM IT (Kamataka Rule 4 (2) under Hindu Marriage Ac, 1955 “Endorsement to be made on the memorandum and epic “Te memorandum was reeeed On. 20 soon this menorandum i fled at serial No. 18 PFE Of WORIME nl the Registrar of marrage maintained under the Hindu Marriage Act, 1985 (25 of 1958) Date, (Signature) Registrar of Marriage GOVERNMENT OF KARNATAKA FORM I-A {See rte 418) CERTIFICATE OF REGISTRATION OF MARRIAGE (Under the Hindu Marriage Act 1955) ‘This ts to certify that St... Die. and Sr Sy. = have fumished the partculas in the memorandum declaring that their mariage Fas been solepnnized ps and thatthe eame hasbeen reatered this day of 20, Date Registrar of Marriage FORM mt (Karnataka Rule 5 (1) under Hindu Marriage Ac, 1955 Ceriest axed to memorandum Certied thatthe above which contains Serta No, : orem serial, ave duplicate copies ofall the memorandum Med in the register maintained by me under the Hindu Mariage Act 1955 (25 of 1958) during month of 20. Date the of 20, (Sipnature) Registrar of Mariage