APPENDIX - II
FORM I (See Rule 5(1)(a)
Memorandum for Registration of Marriage ("√ " wherever applicable)
1.
HUSBAND DETAILS (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
(d) Marital status before the
Bachelor
Married
Others
Specify
date of Marriage
Years
Divorcee
Widower
if Married, mention No. of wives alive (e) Occupation (f) Residential Address
(g) port Number (ID proof to be given) 1A. Details of parents'
HUSBAND'S FATHER
(a) Full Name (b) Age
Years
Alive/Deceased
(c) Address (if alive)
1B. Details of parents' (a) Full Name (b) Age (c) Address (if alive)
HUSBAND'S MOTHER
Years
Alive/ Deceased
2.
WIFE DETAILS (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
(e) Marital status before the
Spinster
Divorcee
Others
Specify
date of Marriage
Years
Widow
(f) Occupation (g) Residential Address
(h) port Number (ID proof to be given) 2A. Details of parents
WIFE'S FATHER
(a) Full Name (b) Age
Years
Alive/ Deceased
(c) Address (if alive)
2B. Details of parents
WIFE'S MOTHER
(a) Full Name (b) Age
Years
Alive/Deceased
(c) Address (if alive)
2
3. NRI - ADDITIONAL DETAILS OF HUSBAND i. (a) port Number (b) port Issued by (c) port valid up to 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
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)
4. NRI - ADDITIONAL DETAILS OF WIFE i. (a) port Number (b) port Issued by (c) port valid up to ii. (a) Visa issued to the country at the time of registration (b) Visa valid up to iii. (a) Type of Resident
D
D
/
M M /
Y
Y
Y
Y
D
D
/
M M /
Y
Y
Y
Y
Permanent / Temporary
(b) if Permanent, give details iv. (a) Social Security No. (If any) OTHER DETAILS 5. Name and Address of the Priest who solemnized the Marriage / was present in the marriage.
6. Place, namely, the Village, Taluk and District where Street the marriage was solemnized, with full Village address. Taluk District
3
7. The date on which the marriage was solemnized.
D
D
/
8. Whether the marriage was previously ed under any other Act or Personal Law
M M
/
Y
Y
Y
Y
Yes / No
if "YES" provide details: (Attach – Certificate of/or Extract of Marriage )
9. We hereby declare:(i)
that a valid marriage was solemnized between us and that the marriage is capable of being ed 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 Wife Photo
Thumb Impression of the Husband Thumb Impression of the wife
Sl. No.
Signature of the Wife
Signature of the Priest
Station: Date : 10.
Signature of the Husband
Name and address of Witnesses: Name
Father’s/ Husband’s name and Address
ID Details
Signature
1
2
4
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 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 ed 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. port 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) (iii) (iv)
Age Residence Date and Place of marriage
(v)
Photo identity for the witnesses and for the parties to the
For the Parties to the marriage
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. ............................................... .
port size Husband's Photo
port size Wife's Photo
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 ed this day .................... of ..................... 2......... at Serial No. ......................... of 2................ of of Marriages maintained under the Tamil Nadu Registration of Marriages Act, 2009.
Signature of Registrar of Marriages. Place : Date :
Seal:
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 the said marriage between --------------------- (Husband), and ----------------------- (Wife) for the following
reasons.________________________________________________
_______________________________________________________________.
Place:: ____________ Date:: _____________ Signature ____________________ Registrar of Marriages
SEAL
FORM'V' (See sub-rule (1) of rule ii)
of Marriages of Marriages for the year... Sl.No.
1
Date of marriage and place of marriage 2
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
3
4
5
6
7
8
9
F O R M ' VI' (See sub-rule (1) of rule ii)
of refusal of Marriages of refusal of Marriages for the year ................... Sl.No.
1
Date of marriage and place of marriage 2
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
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) * (b) * (c) * (d)
a memorandum of marriage a certificate of registration of a marriage an order of refusal for registration of a marriage the extract of the 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:: Date: : *Strike out which is not applicable.
Yours faithfully,
Þ¬í𢹠- II °ø¤ð¢ð£õíñ¢ ð®õñ¢- I (õ¤î¤ 5(1)(a) (1)(a) è£í¢è)
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