APPLICATION FOR REGISTRATION OF MARRIAGE
To,
The __________,
__________.
Sir/Madam,
We, __________ and __________, apply for registration of our marriage and for issue of a marriage certificate, and furnish the following particulars.
PARTICULARS OF THE HUSBAND
Name: __________
Father's/Mother's name: __________
Date of birth: __________
Occupation: __________
Address: __________
Marital status immediately before this marriage: __________
PARTICULARS OF THE WIFE
Name: __________
Father's/Mother's name: __________
Date of birth: __________
Occupation: __________
Address: __________
Marital status immediately before this marriage: __________
PARTICULARS OF THE MARRIAGE
Date of marriage: __________
Place of marriage: __________
The marriage was __________
WITNESSES TO THE MARRIAGE
Witness 1: __________, __________
Witness 2: __________, __________
JURISDICTION AND TIMING
This application is made to the Local Registrar in __________ because __________.
This application is made __________
DECLARATION
We jointly declare that the particulars given above are true to the best of our knowledge and belief, that this marriage has not previously been registered, and that we seek registration of the marriage and issue of a marriage certificate accordingly.
Signature of Husband: _______________________ Date: __________
Signature of Wife: _______________________
Witness 1 (signature): _______________________
Witness 2 (signature): _______________________