Form For Registration of Marriage

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Note: This forms should be filled in two copies.

FORM-‘I’
(See sub-rule (1) of rule 4)

Application for filling Memorandum of Marriage


To,
The Registrar of Marriage,

Subject: Registration of Marriage

Sir,
Marriage has been solemnized between us on 18/01/2020 at VADODARA and
we request that the following particulars of our marriage be entered in the Register of Marriages
and that a Certificate of Registration of Marriage be issued to us.

We hereby declare,

1. That a valid marriage was solemnized us that the marriage is capable of being registered
under section 11 of the Gujarat Registration of Marriage Act, 2006 (Guj.16 of 2006).
2. That the conditions laid in the Personal Marriage Act have been satisfied.
3. That the particulars given in the application are true to the best of our knowledge and
belief, and
4. That a memorandum of marriage duly filled in (in duplicate) along with the prescribed
fees and documents is enclosed herewith.

Place: VADODARA Signature---------------------------------(Husband)

Date: 26/02/2021 ---------------------------------(Wife)

Encl.
(1) Memorandum of Marriage (2 Copy)
(2) Prescribed Fees
(3) Other Documents:

(a) AADHAR CARD

(b) SCHOOL L.C

(c) ADDRESS PROOF


Note: This form should be filled in two copies (both should be with Black ink OR Typed).

MEMORANDUM OF MARRIAGE Affix


agreement
(Section 5 of Gujarat Marriage Act, 2006) stamp of
Rs.100/-
1. Date of marriage: 18/01/2020 here

2. Place of marriage (with sufficient particulars to locate the place):

3. (a) Full name of the bridegroom: PATEL NISHIT DEEPAKKUMAR

(b) His age: 30

(Attach true copy of birth registration certificate or a true copy of school leaving certificate)

(c) Religion: HINDU

(d) Usual place of residence: C/29 MAHESANA NAGAR, OPP GARBA GROUND,
NIZAMPURA, VADODARA- 390002
(e) address:

(f) Status of the bridegroom at the time of marriage, whether


(please √ mark whichever is applicable.)
Unmarried Widow Divorced Married and if so,
how many wives are alive
(g) Signature of the Bridegroom with Date:

4. (a) Full name of the Bride : RAJ CHITRAXI AJITSINH


(b) Her Age: 29
(Attach true copy of birth registration certificate or a true copy of school leaving certificate)
(c) Religion: HINDU

(d) Usual place of residence: D/28, GANESH TOWNSHIP, LINK ROAD,


BHARUCH, GUJARAT - 392001
(e) Address:

(f) Status of the bride at the time of marriage whether


(Please √ mark whichever is applicable).
Unmarried widow Divorced
(g) Signature of the bride with Date :
5. (a) Full name of father or mother or guardian of the bridegroom :
(b) Age: DEEPAKBHAI DAMODARBHAI PATEL
Age: BHAVNABEN DEEPAKBHAI PATEL

(c) Usual place of residence: C/29 MAHESANA NAGAR, OPP GARBA


GROUND, NIZAMPURA, VADODARA- 390002
(b) Address:
6. (a) Full name of the father or mother or guardian of the bride :
(b) Age : AJITSINH GEMALSINH RAJ
Age : JYOTSNABEN AJITSINH RAJ
(c) Usual place of residence : D/28, GANESH TOWNSHIP, LINK ROAD,
(d) Address : BHARUCH GUJARAT - 392001

7. (a) Full name of the priest : BHATT CHAILESHKUMAR SURESHCHANDRA


(b) Age : 47
(c) Usual place of Residence : B/14 GAYATRI KRUPA, BHOLAV, BHARUCH 392001
(d) Address :
(e) Signature with date :

8. (1)(a) Full name of first witness : DEEPAKBHAI DAMODARBHAI PATEL


(b) Age :
(c) Address : C/29 MAHESANA NAGAR, OPP GARBA GROUND,
NIZAMPURA, VADODARA- 390002
(d) Signature with date :

(2) (a) Full name of second witness : BHAVNABEN DEEPAKBHAI PATEL


(b) age :
(c) Address : C/29 MAHESANA NAGAR, OPP GARBA GROUND,
NIZAMPURA, VADODARA- 390002
(d) Signature with date :

The memorandum and the fee of Rs. were received by


meon - -20. ... andthememorandumisfieldatSerial
- -20
No. of on page of volume of
theregisterofmarriagesmaintainedundertheGujaratRegistrationof
Marriages act, 2006 (Guj. 16 of 2006).

Dated the day of 20.

Signature
Registrar of Marriages.

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