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GOVERNMENT OF MAHARASHTRA
HEALTH DEPARTMENT
MEMORANDUM OF MARRIAGE
Marriage Details Registration No. : 0050129499
Personal Law according to which the marriage between the parties was solemnizes :
MAHARASHTRA REGULATION OF MARRIAGE BUREAUS AND REGISTRATION OF MARRIAGES ACT 1998
Place of Marriage(with full particulars) : Shiv Vishnu Mandir, Hall, Sector 9-A, Near
Vashi Bus Depo, Vashi, NAVI MUMBAI, 400703, Maharashtra, India.
Husband Details
Name of the Husband (Full name beginning with surname) : Mr. PANDEY SHYAMKUMAR SURESH
i. By Birth : Hindu
Date of Birth & Age as on the date of the solemnization of marriage(Years): 01.05.1987
& 28
Name of the Wife(Maiden Name) (Full name beginning with surname) : Ms. DUBEY HEMLATA
KANAHYALAL
i. By Birth : Hindu
Date Of Birth & Age as on the date of the solemnization of marriage(Years): 19.07.1990
& 25
Residential address before or at time of Marriage : JN4 14-4 BLUE HEVEN, SECTOR 10,
VASHI, NAVI MUMBAI, 400703, Maharashtra, India.
Witness 1 Details
Address : LAXMAN BLDG GR FLR, ROOM NO 3 KELEWADI GIRGAON, DR BHALERAO MARG, MUMBAI,
400004, Maharashtra, India.
Witness 2 Details
Address : LAXMAN BLDG GR FLR, ROOM NO 3 KELEWADI GIRGAON, DR BHALERAO MARG, MUMBAI,
400004, Maharashtra, India.
Witness 3 Details
Address : LAXMAN BLDG GR FLR, ROOM NO 3 KELEWADI GIRGAON, DR BHALERAO MARG, MUMBAI,
400004, Maharashtra, India.
Priest Details
Religion : Hindu
Age (Years): 56
Address : SHIV MANDIR, Juhu Nagar, Plot No. 8 - 9, Vashi,, NAVI MUMBAI,, 400703,
Maharashtra, India.
b. For Bridegroom
1. Ration card : No
2. Election card : No
3. Telephone bill(in the name of person) : No
4. Electricity bill(in the name of person) :No
5. Passport :Yes
6. Adhaar card :No
a. For Witness 1
1. Ration card :No
2. Election card :No
3. Telephone bill (in the name of person) :No
4. Electricity bill(in the name of person) :No
5. Passport :No
6. Adhaar card :Yes
b. For Witness 2
1. Ration card :No
2. Election card :No
3. Telephone bill(in the name of person) :No
4. Electricity bill(in the name of person) :No
5. Passport :No
6. Adhaar card :Yes
c. For Witness 3
1. Ration card :No
2. Election card :No
3. Telephone bill(in the name of person) :No
4. Electricity bill(in the name of person) :No
5. Passport :No
6. Adhaar card :Yes
9. Divorcee : :No
Court Decree
a. Divorce certificate (Attested Copy) :
b. Court Order (Attested Copy) :
12. If Husband Wife are of different religion then as per the act either Husband or
Wife have to convert his/her religion to match the religion of another to the said
marriage prior to the date of marriage. In this case if one of the parties is
converting himself/herself from his/her own religion (by birth) and adopting religion
of the second party then they should produce following documents (if applicable):
No
Note:
(A) Photos of husband, wife & 3- witnesses must be pasted in the respective box on
the application form.
B) Husband, wife & 3- witnesses are required to do signature on the application forms
only in front of Sub-Registrar.
D) All required documents original & one set of gazette attested photo copy and the
original application form & receipt must be produced to the Sub-Registrar on the date
of appointment and photo copy set should be submitted to the Sub-Registrar office.
F)While making final payment to get marriage certificate, applicant must log on to
URL : http://portal.mcgm.gov.in and enter marriage registration no in payment receipt
tab located under path : Citizen Services --> Health Services --> Marriage
Registration.
G)The applicant is hereby requested to recheck the PDF printout of the form for
spelling mistakes & other corrections. If any corrections are required it should be
brought to the notice of the Registrar at the time of appointment along with document
proof wherever necessary.
H)Applicant should note that once the application if approved by the Registrar and
the Marriage Certificate is generated, after that no corrections what so ever will be
made on the Marriage Certificate.