MEMORANDUM OF MARRIAGE

(Section 5 and 6) of The Uttarakhand Compulsory Registration of Marriage Act, 2010 To, The Registrar, Compulsory Registration of Marriage, …………….. District Uttarakhand. Sir, A marriage in accordance with the provisions applicable to us (as per Religion, …………………………. Custom or Practice applicable to the parties be mentioned) has been solemnized between us, the undersigned parties, on ………………… and we request that the following particulars of our marriage be registered in the Uttarakhand Compulsory Registration of Marriage Register :- Particulars of Marriage 1. Date of marriage …………………………………………………………………………….. 2. Place of marriage (with sufficient particulars to locate the place) …………………….………………………………………………………………… ……………………….……….… 3. Parrticulars of the bridegroom : (a) Full name and occupation ……………………………………………………………… (b) Domicile (only the particulars to be filled up) …………………… …………………… (c) Age ………………………………………… (d) Usual place of residence ……………………………………………………………….. (e) Permanent address ……………………………………………………………………… (f) Address at the time of application ……………………………………………………… (g) Status at the time of marriage ………………………………………………………….. bridegroom’s self attestedb photo bride’s self attestedb photo Whether Unmarried …………………………………….….… Widower …………………………………………… Divorced …………………………………………… Dated ………. Signature of the Bridegroom ………………………. 4. Particulars of the bride : (a) Full name ……………………………………………………………………………… (b) Domicile (only the particulars to be filled up) …………………… …………………… (c) Age ………………………………………… (d) Usual place of residence ………………………………………………………….….. (e) Permanent address ……………………………………………………………………… (f) Address at the time of application ……………………………………………………… (g) Status at the time of marriage ………………………………………………………….. Whether Unmarried …………………………….………….… Widower ……………………………….…………… Divorced …………………………………………… Dated ………. Signature of the Bridegroom ………………………. 5. Full particulars of bridegroom’s father : (a) Full name ………………………..……………………………………………………… (b) Age ……………………………..…………………………………….…………… (c) Occupation ………………….….…………………………………….………………… (d) Usual place of residence ……………………………………………………………….. (e) Address at the time of application ……………………………………………………… (f) Whether alive or dead ………………………………………………………………….. Dated ………. Signature of the father of the bridegroom ………………………………………………………………………………………… 6. Particulars of the bride’s father or other guardian : (a) Full name ………………………..……………………………………………………… (b) Age ……………………………..………………………………………….……… …… (c) Occupation ………………….….…………………………………….………………… (d) Usual place of residence ……………………………………………………………….. (e) Address at the time of application ……………………………………………………… (f) Relationship of guardian with bride ……………………………..……………………. Dated ………. Signature of the father of the bridegroom Note : Signature of the bridegroom’s father is not obligatory. Note -- N.B. Signature of the bride’s father or guardian is not obligatory where the bride’s age is not less tham 18, on the date of application but signature of her father or guardian is necessary where on the date of application she is below 18 and the marriage was performed in accordance with the law in force on the date of marriage.) 7. Particulars of the priest: (a) Full name ………………………..……………………………………………………… (b) Age ……………………………..………………………………………….……… …… (c) Usual place of residence ……………………………………………………………….. (d) Address ………………………….……………………………………………………… Note :-- It shall not be obligatory to enter particulars of the priest, if the marriage took place more than a year before the date of the application. His signature is not obligatory. Dated ………. Signature of the prist……………… DECLARATION I, solemnly declare that the particulars given in this application, so for as they relate to myself and to the solemnization of marriage are true to the best of my knowledge and the rest are based on information received and believed to be true. 8. Signature of Bridegroom ………………. Signature of Bride ………………… Dated …………………….. Dated ………………………… 9. 1—Witness : (a) Full name …………………………………………………………………………. (b) Adress ……………………………………………………………………………... 2—Witness : (a) Full name …………………………………………………………………………. (b) Adress ……………………………………………………………………………... Signature …………………….…………… Dated …………………………..…………. Certificate by ……………………….……. (Designation) ……………………………….. (The identification of the bridegroom and the bride and other particulars of this application by the Member of Parliament/Member of the State Legislature/Gazetted Officer/Pradhan/ Sarpanch/Pramukh/President of a local body/Counsel/Vice-Counsel, as are appended with the application.) Note – Certificate may be by more than one such person where one cannot certify the identify of both the parties or all other particulars.