APPLICATION FORM MARRIAGE CERTIFICATE
(Under Compulsory Registration of Marriage Rule,2012)
(Please fill the form in Block Letters)
Paste Joint Photo of husband and wife,
Complete Address of passport size, Both Husband Wife to Sign/thumb
Marriage * impression across their photo.
Date of Marriage*
Bride’s Details Groom’s Details
Name*
Father’s Name*
Mother’s Name *
Date of Birth*
Gender * Female Male
Mark of Identity*
Mobile No *
Aadhaar No
Email Id
Marital Status Unmarried Married Divorced Widow Unmarried Married Divorced Widower
Nationality
Religion
Occupation
Bride’s Address Groom’s Address
Country
State
Passport Number
Social Security No.
Passport Validity
Date
Permanent Address
Temporary Address
It is certified that the information provided above is to the best of my knowledge and belief and nothing has been concealed therein. It is also
certified that this marriage has not been registered anywhere in India/Abroad and we are not related to each other within the degree of prohibited
relationship and neither of us is lunatic. We shall be liable for action as per the law, if we have violated any provision of any law of the land.
Signature With Date ……………………………………………………………………. (Wife) (Husband)
Witness Details Witness 1 Details Witness 2 Details Witness 3 Details (Optional)
Name
Father/Husband
Name
Relation With Bride Groom Bride Groom Bride Groom
Country
Mobile
Aadhaar No
(Optional)
Address
Signature
