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Marriage Registration Certificate Form
 
Schdule Form A
See Rule 4(2) of the Uttar Pradesh Hindu Marriage Registration Rules, 1973
Aplication for Registration of Hindu Marriage
To,
The Registrar of Hindu Marriages,
District
Uttar Pradesh
 
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Sir,
A Hindu Marriage in accordance with the provisions of the Hindu Marriages Act 1955 has been solemnized between us, the undersigned parties, on and we request that the following particulars of our marriage be registered in the Hindu Marriage Register :
 
Particulars of Marriage
1. Date of Marriage
2. Place Of marriage ( with sufficient particulars to locate the place)
3. Particulars of the bridegroom :
 
(A) Full name and occupation
(B) Domicile
(C) Age ( Which shall not be less than 21 : section 5 )
(D) Usual place of residence
(E) Permanent address
(F) Address at the time of application
(G) Status at the time of marriage, whether
    Unmarriaed / Widower / Divorceds
Dated Signature of the Bridegroom
 
4. Particulars of the bride :
(A) Full name
(B) Domicile
(C) Age ( Which shall not be less than 18 : section 5 )
(D) Usual place of residence
(E) Permanent address
(F) Address at the time of application
(G) Status at the time of marriage, whether
   Unmarriaed / Widower / Divorceds
Dated Signature of the Bride
 
5. Full Particulars of bridegroom's father :
(A) Full name
(B) Age
(C) Occupation
(D) Usual place of residence
(F) Address at the time of application
(G) Whether alive or dead
Dated Signature of the father of the bridegroom
(N.B. - Signature of the Bridegroom's father is not obligatory )
 
6. Particulars of bride's father or other guardian :
(A) Full name
(B) Age
(C) Occupation
(D) Usual place of residence
(F) Address at the time of application
(G) Relationship of guardian with bride (See section 6 )
Dated Signature of the father or guardian of the Bride
(N.B. - Signature of the bride's father of guardian is not obligatory where the bride's age is not less than 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 perormed in accordance with the law as in force on the date of marriage )
 
7. Particulars of the officiating priest
(A) Full name
(B) Age
(C) Usual place of residence
(D) Address
(N.B. - It shall not be obligatory to enter particulars of the officiating priest, if the marriage took place more than a year before the date of application. His signature is not obligatory )
Dated Signature of the father or guardian of the Bride
Declaration - I solemnly declare that the particular given in this application, is so far 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
   
9.1. Witness :
(A) Full name
(B) Address
 
2. Witness :
(A) Full name
(B) Address
Signature Signature
Dated Dated
 
Certificate by ( designation ) (a Member of Parliament Member of the State Legislature/Gazetted Officer/Pradhan/Sarpanch/Pramukh/President of a local body/Consul/Vice-Consul ). as to the identity of the Bridegroom and the bride and other particulars of this application is appended herewith.
 
Note :- Certificate may be by more than one such person where one cannot certify to the identity of both the parties or all other particulars
 
Witness
 
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