MEMORANDUM OF MARRIAGE [See Section 7(2)]

1. Date of Marriage. 2. Place of Marriage (with sufficient particulars to locate the same). 3. (a) Full name of the bridegroom (b) His age (c) Address (i) Present Address (ii) Permanent Address (d) Name of his father (e) Name of his mother (f) Status of the bridegroom at the time of marriage (Unmarried/ Widower/ Divorcee/ Married) (g) Occupation of bridegroom (h) His religion at the time of marriage. 4. (a) Full name of the bride (b) Her age (c) Address (i) Present Address (ii) Permanent Address (d) Name of her father (e) Name of her mother (f) Status of the bride at the time of marriage (Unmarried/ Widow/ Divorcee/ Married) (g) Occupation of bride (h) Her religion at the time of marriage. Form of Marriage: By performing Social religious rites recognized by Hindu, Christian, Muslim etc. religion/ by registration under special Marriage Act. (give tick mark to the appropriate form). 5. Signature/ thumb impression of the female partner or her parents or guardian in case she has not completed eighteen (18) years of age; Signature/ thumb impression of the male partner of the marriage or his parents or guardian in case he has not completed twenty-one (21) years of Age. 6. Witnesses for the Groom and Witnesses for the Bride. Declaration: I, Shri ... and I, Smt ... do hereby jointly declare that the marriage was performed with our consent; and that to our knowledge, our marriage was not barred by any law in force at the time of our marriage. We also declare that all information furnished hereinabove are correct. Signature or left thumb impression of Groom and Bride. Note: Before signing the Memorandum the signatory should satisfy himself / herself that the entries in the Memorandum are correct in all respects.