FORM-A (See Section 12) MARRIAGE CERTIFICATE

I, hereby certify that I have registered under the Compulsory Registration of Marriage Act, 2002, the marriage of bridegroom AB with bride CD on this day of 200 in pursuance of the memorandum dated the day of r eceived by me and the same has been entered as Serial No. in Page o f the Register of Marriages maintained by me for the year. Date: Address: District Registrar of Marriages/Marriage Office of the Local Area. MEMORANDUM OF MARRIAGE (See Section 8) 1. Date of Marriage. 2. Place of marriage (With Sufficient particulars to locate the place). BRIDEGROOM’S PATICULARS. 3. (a) Full Name of the bridegroom. (b) Father's Name/Mother's Name. (c) His age at the time of marriage. (d) Usual place of residence. (e) Address: (f) Status of the bridegroom at the time of marriage. (Whether unmarried/widower/divorced). Signature of the Bridegroom. WITNESSES: 1. (a) Name. (b) S/o. W/o. D/o. (c) Age: (d) Usual place of residence. (e) Address; Signature of the Witness. 2. (a) Name (b) S/o. W/o. D/o. (c) Age: (d) Usual place of residence. (e) Address; Signature of the Witness. . BRIDE’S PATICULARS. 3. (a) Full Name of the bride. (b) Father's Name/Mother's Name. (c) Her age at the time of marriage. (d) Usual place of residence. (e) Address: (f) Status of the bride at the time of marriage. (Whether unmarried/widow/Divorced). Signature of the Bridegroom. WITNESSES: 1. (a) Name. (b) S/o. W/o. D/o. (c) Age: (d) Usual place of residence. (e) Address; Signature of the Witness. 2. (a) Name (b) S/o. W/o. D/o. (c) Age: (d) Usual place of residence. (e) Address; Signature of the Witness.