SPECIAL MARRIAGE ACT, 1954 (43 OF 1954)
Affix passport size Affix passport size
photo of bridegroom THE SECOND SCHEDULE
photo of bride and
and duly attest the (See Section 5) duly attest the
photo NOTICE OF INTENDED MARRIAGE photo
To,
The Marriage Officer for the ……………………………………………………………………………………. Sub District/District
We hereby give you notice that a marriage under the Special Marriage Act, 1954 is intended to be solemnized between us within three
calendar months form the date hereof.
Permanent dwelling palce if
Length of
Name Condition Occupation Age Dwelling Place present dwelling place is not
residence
permanent
Unmarried
Widower
Divorcee
Unmarried
Widow
Divorcee
Witness our hands this …………… day of ………………………………. …..
Name & Signature of Bridegroom
Name & Signature of Bride
Objections, if any, filed under section 7 (3) of the Special Marriage Act, 1954 to the under signed within 30 days from the date of the notice.
Marriage Officer ...............................
THE THIRD SCHEDULE
(see sec.11)
Declaration to be made by the Bridegroom
I .............................................. hereby declare as follows:
1. I am at the present time unmarried (or a widower or a divorcee, as the case may be).
2. I have completed .......... years of age.
3. I am not related to ......................................................... (the bride) within the degrees of
prohibited relationship.
4. I am aware that if any statement in this declaration is false, and if in making such statement I
either know or believe it to be false or do not believe it to be true, I am liable to imprisonment and
also to fine.
(the Bridegroom)
Declaration to be made by the Bride
I .......................................... hereby declare as follows:
1. I am at the present time unmarried (or a widow a divorcee, as the case may be).
2. I have completed .......... years of age.
3. I am not related to ......................................................... (the bridegroom) within the degrees
of prohibited relationship.
4. I am aware that if any statement in this declaration is false, and if in making such statement I
either know or believe it to be false or do not believe it to be true, I am liable to imprisonment and
also to fine.
(the Bride)
Signed in our presence by the above named ............................................................................
and ....................................................... So far as we are aware there is no lawful impediment to
the marriage.
Three Witnesses
1.
2.
3.
Countersigned
Marriage Officer
Dated the .............day of .................................. 20..... .
THE SPECIAL MARRIAGE ACT, 1954
(CENTRAL ACT 43)
Application for Registration of Marriage under Section 15 of the Special Marriage Act, 1954
(Central Act of 1954)
Notice Date ……./…………/……………..
1. Name of Parties (Husband)
(Wife)
Duly attested passport photos Husband Wife
Affix passport size Affix passport size
photo of husband photo of wife and
and duly attest the duly attest the photo
photo
2. Age and Date of Birth (Husband)
(Wife)
3. Permanent Dwelling Place Husband Wife
4. Present Dwelling Place
*[4A. If the husband is a Non-Resident Indian,-
(i) Address of his foreign home
(ii) Security number of his foreign home
(iii) Passport number
5. Relationship, if any, of parties before marriage None
6. A ceremony of marriage was performed between ………………………………………….. and ……………………………… on
………………. at ……………………….. and we declare that we have been living together as husband and wife ever since the
date noted above.
We hereby declare that:
(i) Neither of us has more than one spouse living on the date mentioned in this application
(ii) Neither of us, is an idiot or lunatic.
(iii) Both of us have completed the age of twenty-one years on the date of this application.
(iv) We are not within the degree of prohibited relationship/ Our marriage was celebrated before the commencement of the Special
Marriage Act, 1954 (Central Act of 1954) and according to Law, Custom or Usage having the force of law governing each of
us, a marriage between us is permitted, though we are within the degrees of prohibited relationship according to the Act as
aforesaid.
Note:- Score out which is not applicable
(v) We have been residing within the jurisdiction of ………………………… Marriage Officer at ……………… for a period not
less than thirty days immediately preceding the date of this application. We also declare that all the above particulars are true
to the best of our knowledge and belief.
We also declare that all the above particulars are true to the best of our knowledge and belief.
Station : …………………….. Signature 1. ………………………………….
Witness:- 2. ………………………………….
1. ………………………………………………………………………………………………………………………
2. ………………………………………………………………………………………………………………………
3. ………………………………………………………………………………………………………………………
