FORM III
(See Rule 7(1)
Application for Registration of a Marrieage under Section 15 of
The Special Act,1954(Central Act 1954)
Name of the parties;(i) Maibusab S/o Abdulasab Nadaf (Husband)
(ii) Haseena D/o Hajisab Dodamani (Wife)
7. Age in Date of Birth; ( i) Husaband;- 01-06-1990(33)
(ii) Wife ;- 06-07-1995(28)
8. Permanent Dwelling Place. If any;- At;- Arban Tq; Nargund
Dist: Gadag
9. Present dwelling Place: At ; Arban Tq: Nargund
Dist: Gadag
10. Relationship, if any, of parties before marriage: No
11. A ceremony of marriege was performed between;- Maibusab S/o Abdulsab Nadaf
At. Arban, Nargund Tq; Nargund Dist: Gadag and Haseena D/o Rajisab Nadaf At; Mishrikote Tq; Dharwad
Dist: Dharwad on 21-05-2023 at Aman hall , Karwar Road Hubli. and we are declare that we have been living
together as husband and wife ever since the date noted above.
We hereby declare that.
( v) Neither of us has more than one spouse living on the date mentioned in this application.
(vi) Neither of us, is an idiot or lunatic
(vii) Both of us have complted the age of twenty one years on the date of this application.
(vii) We are not within the degree of proh ibited relationship; our marrieage was celebrated before and
commencement of the special Marrieage Act, 1954(central Act,1954 Act 43 of 1954) and according to law
custom or usage having the force of law. Governing each of us. A marriage betweem us is permitted, though
we are within the degree of prohibited relationship according to the Act as aforesaid.
(v) We have been residing within the jurisdiction of Nargund Marriage Officer at Nargund for a periood of not
less than thirty days immediately preceding the date of this application Note; Score put whichever is not
applicable.
We also declare that all the above particulars are true to the best of our knowledge and belief.
Date: Signature of Husband
Signature of Wife
Witness Full name Address Signature
1.
2.
3.