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