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APPENDIX - II
FORM I (See Rule 5(1)(a)
Memorandum for Registration of Marriage
("√ " wherever applicable)
11.. HHUUSSBBAANNDD DDEETTAAIILLSS
(a) Full Name of the Husband (as per records)
(b) Religion Hindu Christian Muslim Others
if select "Others" specify :
(c) Age and Date of Birth D D / M M / Y Y Y Y Years
(d) Marital status before the Bachelor Married Divorcee Widower
date of Marriage Others Specify
if Married, mention No. of wives alive
(e) Occupation
(f) Residential Address
(g) Passport Number (ID proof to be given)
1A. Details of parents' HHUUSSBBAANNDD''SS FFAATTHHEERR (a) Full Name
(b) Age Years Alive/Deceased
(c) Address (if alive)
1B. Details of parents' HHUUSSBBAANNDD''SS MMOOTTHHEERR (a) Full Name
(b) Age Years Alive/ Deceased
(c) Address (if alive)
2
22.. WWIIFFEE DDEETTAAIILLSS
(a) Full Name of the Wife (as per records)
(b) Religion Hindu Christian Muslim Others
if select "Others" specify :
(d) Age and Date of Birth D D / M M / Y Y Y Y Years
(e) Marital status before the Spinster Divorcee Widow
date of Marriage Others Specify
(f) Occupation
(g) Residential Address
(h) Passport Number
(ID proof to be given) 2A. Details of parents WWIIFFEE''SS FFAATTHHEERR (a) Full Name
(b) Age Years Alive/ Deceased
(c) Address (if alive)
2B. Details of parents WWIIFFEE''SS MMOOTTHHEERR
(a) Full Name
(b) Age Years Alive/Deceased
(c) Address (if alive)
3
3. NNRRII -- AADDDDIITTIIOONNAALL DDEETTAAIILLSS OOFF HHUUSSBBAANNDD
i. (a) Passport Number
(b) Passport Issued by
(c) Passport valid up to D D / M M / Y Y Y Y
ii. (a) Visa issued to the country at the time of registration
(b) Visa valid up to D D / M M / Y Y Y Y
iii. (a) Type of Resident Permanent / Temporary
(b) if Permanent, give details
iv. (a) Social Security No. (If any)
44.. NNRRII -- AADDDDIITTIIOONNAALL DDEETTAAIILLSS OOFF WWIIFFEE
i. (a) Passport Number
(b) Passport Issued by
(c) Passport valid up to D D / M M / Y Y Y Y
ii. (a) Visa issued to the country at the time of registration
(b) Visa valid up to D D / M M / Y Y Y Y
iii. (a) Type of Resident Permanent / Temporary
(b) if Permanent, give details
iv. (a) Social Security No. (If any)
OOTTHHEERR DDEETTAAIILLSS
5. Name and Address of the Priest who solemnized the Marriage / was present in the marriage.
Street
Village
6. Place, namely, the Village, Taluk and District where the marriage was solemnized, with full address.
Taluk
District
4
7. The date on which the D D / M M / Y Y Y Y
marriage was solemnized.
8. Whether the marriage was previously
registered under any other Act or Personal Law
Yes / No
if "YES" provide details: (Attach – Certificate of/or Extract of
Marriage Register)
9. We hereby declare:- (i) that a valid marriage was solemnized between us and that the marriage is
capable of being registered under section 3 of the Tamil Nadu Registration of Marriages Act, 2009;
(ii) that the conditions prescribed in the respective personal laws intended for the solemnization of marriages have been satisfied;
(iii) that the particulars given in this memorandum are true to the best of our knowledge and belief;
(iv) that the two witnesses who have signed below were present at the time of the solemnization of the marriage; and
(v) that no dowry was demanded or given or taken.
Husband Photo
Thumb Impression of the
Husband Signature of the Husband
Wife Photo
Thumb Impression of the
wife Signature of the Wife
Station: Date :
Signature of the Priest
10. Name and address of Witnesses: Sl. No.
Name Father’s/ Husband’s name and Address
ID Details
Signature
1
2
FORM ' II ' (See sub-rule5 (1)(a)
Application for filing Memorandum of Marriage
To,
The Registrar of Marriages,
Sub: Registration of marriage.
Sir,
A marriage has been solemnized between us on ____________ at
___________________ and we request that the 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 between us and that the marriage is,
capable of being registered under section 3 of the Tamil Nadu
Registration of Marriages Act, 2009.
(2) that the conditions laid down in our Personal Law have been
satisfied
(3) that the particulars given in application are true to the best of our
knowledge and belief,
(4) that a memorandum of marriage duly filled in (in duplicate) along with
the prescribed fees and documents, is enclosed.
Signature ; _______________
(Husband)
______________________
( Wife)
Place :
Date:
Encl:-- (1) Memorandum of Marriage.
(2) Prescribed fees.
(3) Other documents:-- (a) ___________________________________
(b) ___________________________________
(c) ___________________________________
INSTRUCTIONS FOR FILLING UP THE APPLICATION AND
MEMORANDUM
1. The Memorandum shall be given in duplicate.
2. Passport size photo of both the parties to the marriage shall be affixed
in the Memorandum and another copy shall be enclosed.
3. Any one of the proofs mentioned in the rules shall be given to prove
the following :-
(i) Name
(ii) Age For the Parties to
(iii) Residence the marriage
(iv) Date and Place of marriage
(v) Photo identity for the witnesses and for the parties to the
marriage.
4. Self addressed and sufficiently stamped envelope shall be given
5. In Item 1(d) of the Memorandum, the marital status shall be indicated
by the parties to the marriage as per their personal law.
6. The fees shall be paid by Cash/ D.D./Bankers’ cheque, drawn in
favour of the Registrar of Marriages.
GOVERNMENT OF TAMILNADU FORM III
CERTIFICATE OF REGISTRATION OF MARRIAGE (See rule 5 (7))
No. ............................................... .
This is to Certify that Thiru ........................................................................
(Name of Husband) S/o. Thiru ...................................................................
residing at ............................................................................................................
and Tmt. ...................................................................................... (Name of wife)
D/o. Thiru .............................................................................. residing at
.................................................................. have furnished the particulars in
Memorandum declaring that their marriage has been solemnized on
........................... at .................................................................... (place) and that
the same has been registered this day .................... of ..................... 2......... at
Serial No. ......................... of 2................ of Register of Marriages maintained
under the Tamil Nadu Registration of Marriages Act, 2009.
Signature of Registrar of Marriages.
Place : Date : Seal:
Passport size
Husband's Photo
Passport size
Wife's Photo
FORM ' IV' (See rule 5(8) )
Order of refusal for registration of a marriage
No:_________
I, Registrar of Marriages, ____________ after scrutiny of memorandum
and other documents submitted with the same and after hearing the parties on
the ___________day of___________,20..... refuse to register the said marriage
between --------------------- (Husband), and ----------------------- (Wife) for the
following reasons.________________________________________________
_______________________________________________________________.
Place:: ____________
Date:: _____________
Signature ____________________
Registrar of Marriages
S E A L
F O R M ' V ' (See sub-rule (1) of rule ii) Register of Marriages
Register of Marriages for the year...
Sl.No. Date of
marriage
and
place of
marriage
Name of
husband
and his
address
His age
at the
time of
marriage
Religion
of
Husband
Name of
wife and
her
address
Her age
at the
time of
marriage
Religion
of wife
Date of
Registration
1 2 3 4 5 6 7 8 9
F O R M ' VI' (See sub-rule (1) of rule ii)
Register of refusal of Marriages
Register of refusal of Marriages for the year ...................
Sl.No. Date of
marriage
and
place of
marriage
Name of
husband
and his
address
His age
at the
time of
marriage
Religion
of
Husband
Name of
wife and
her
address
Her age
at the
time of
marriage
Religion
of wife
Date of
Refusal
1 2 3 4 5 6 7 8 9
F O R M ' VII ' (See rule 15)
Application for obtaining certified copy / Certified extract
Date:
From: (Name and address of the person(s))
To,
The Registrar of Marriages,
Sub: Certified copy / Certified extract
Sir,
I, the undersigned, request you that—
(1) _______ (please write the number) certified copy / Certified extract
of the following document(s) may please be provided to me at the earliest.
* (a) a memorandum of marriage
* (b) a certificate of registration of a marriage
* (c) an order of refusal for registration of a marriage
* (d) the extract of the register of marriages
(2) The Particulars of Marriage—
(i) Name of the husband_____________________
(ii) Name of the wife_________________________
(iii) Date of registration of marriage__________________
(iv) Date and no. of a certificate of registration of marriage
_______________________________
(v) Date and no. of an order of refusal for registration of a
marriage___________________________
(3) The fees of Rs.______( rupees_________________________) is
enclosed herewith.
Place:: Yours faithfully,
Date: : *Strike out which is not applicable.
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