special marriage application form by bibhuaryan

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									                                                                                    Please bring your original documents
All Photocopies (Documents) /Xerox
                                                                                    while submitting the application form
alongwith Photographs on front should be
                                                                                    as well as at the time of registration.
attested by a Gazetted Officer.

Name with

     APPLICATION FOR REGISTRATION OF MARRIAGE UNDER SECTION 15
         OF SPECIAL MARRIAGE ACT, 1954 (CENTRAL ACT 43 OF 1954)


NAME WITH PARENTAGE                                           HUSBAND ..........................................................
                                                                     S
                                                              FATHER’ NAME .............................................
                                                              WIFE ....................................................................

AGE & DATE OF BIRTH                                                  S
                                                              FATHER’ NAME .............................................
                                                              HUSBAND ..........................................................
                                                              WIFE ....................................................................

PERMANENT DWELLING PLACE                                     HUSBAND ..........................................................
                                                              WIFE ....................................................................

PRESENT DWELLING PLACE                                        HUSBAND ..........................................................
                                                              WIF
								
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