Certificate of Marriage [See Section 13(4)]

This is to certify that following particulars about the marriage between the parties mentioned below have been recorded in the marriage register maintained in this office as on ... (This certificate is a prima facie proof of marriage) 1. (a) Full name of the husband (b) His address (c) Name of his father/ guardian (d) Name of his mother/ guardian. 2. (a) Full name of the wife (b) Her address (c) Name of her father/ guardian (d) Name of her mother/ guardian. 3. Date of Marriage. 4. Place of Marriage. 5. Form of marriage (Religion custom etc.). Signature & designation of the Marriage Recorder. Signature or left thumb Impression Groom, Bride.