marriage registration

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					                                             NOTICE OF INTENDED MARRIAGE


MARRIAGE OFFICER FOR THE __________________ District
 WE HEREBY give you notice that a marriage under the Special Marriage Act, is intended to be solemnized between us within three
calendar months from the date hereof.

Name                 Condition            Occupation           Age        Dwelling Place     Permanent           Length of
                                                                                             dwelling place if   Residence
                                                                                             present dwelling
                                                                                             place is not

Witness our hands this-----------------------day of--------------
We are not within the degrees of prohibited relationship.

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