APPLICATION FORM MARRIAGE CERTIFICATE

(Under Compulsory Registration of Marriage Rule, 2012)

(Please fill the form in Block Letters)

Paste Joint Photo of husband and wife,

passport size, Both husband wife to
Complete Address of
Marriage* sign/thumb impression across their photos

Date of Marriage*
Bride’s Details Groom’s Details
Name*
Father’s Name*
Mother’s Name*
Date of Birth *
Gender* Female Male
Mark of Identity*
Mobile No.*
Aadhaar No.
Email Id

Marital Status* Unmarried Married Divorced Widow Unmarried Married Divorced Widower

Nationality*
Religion*
Occupation*
Bride’s Address Groom’s Address
Country*
State*

Permanent Address*

Temporary Address

It is certified that the information provided above is to the best of my knowledge and belief and nothing has been concealed therein. It is also
certified that this marriage has not been registered anywhere in India/Abroad and we are not related to each other within the degree of prohibited
relationship and neither of us is lunatic. We shall be liable for action as per the law, if we have violated any provision of any law of the land.

Signature with date: -----------------------------------------------------------------------(Wife) ----------------------------------------------------------------------(Husband)

Witness Details Witness 1 Details Witness 2 Details Witness 3 Details (optional)
Name*
Father/Husband name*

Relation with* Bride Groom Bride Groom Bride Groom

Country*
Mobile*
Aadhaar (optional)

Address*

Signature*
 Check List of Requisite Document Required while Applying
(Please check against the document being provided while applying)
Applicant has to bring original documents for verification and scanning

1 Marriage Entry Form along with Court Fee

2 Joint Affidavit
3 Five Joint Photograph of Husband and Wife( Passport Size and Bride should be on left Side of Groom)
4 Residence Proof of both Husband and Wife
5 Identity Proof of both Husband and Wife
6 Date of Birth proof/ Age Proof both Husband and Wife
7 At least three Unique/Distinct postcard size wedding photo
8 Proof of Marriage(Any one In case of registration only)
 Certificate from religious institution or priest who solemnized the wedding
 Nikah Nama
 Certificate from Gurudwara / Marriage Card
9 Divorce Decree in case of Divorce
10 Death Certificate of spouse, in case of widow/widower

Additional Documents in case Application is submitted after 90 days of Marriage

1 Late affidavit for registration of Marriage

Date: ……………………………… Signature of Applicant : ………………………………………………………………..

Name of Applicant : ………………………………………………………………..

Documentary Proof of Residence Documentary Proof of Identity Documentary Proof of Date of Birth
 Passport  Election Commission Photo ID card  Birth certificate issued by a Municipal
 Driving License  Aadhaar Card / E-Aadhaar letter issued by Authority or any office authorized to issue
Birth and Death Certificate by the Registrar of
 Election Commission Photo ID card government of India.
Births & Deaths
  Driving License
Aadhaar Card / E-Aadhaar letter issued by  School leaving certificate / Secondary School
government of India.  Passport leaving certificate/ Certificate of Recognized
 Domicile Certificate  Arm’s License with Photo Graph Boards from the school last attended by the
 Central Government Health Scheme Card or applicant or any other recognized educational
Ex-servicemen Contributory Heath Scheme institution
photo card  Passport
 Applicant's current and valid ration card with  Self Affidavit regarding age
Photograph  Medical Certificate Indicating Age
 Photo identity card issued by the Central
Affix Rs. 10 Court Fee Government or a State Government or a
Public Sector Undertaking
 Pensioner Card having photograph of the
applicants
 Certificate of identity in original signed by
Member of Parliament or Member of
Legislative Assembly or a Gazetted Officer
containing duly attested photograph
 Bank certificate in original on letter head from
the branch (along with name and stamp of the
issuing officer) containing duly attested
photograph and bank account number of the
applicant(Scheduled Public Sector Banks and
Regional Rural Banks only)
 Joint Affidavit

We _____________ S/o ____________ R/o of ___________________________________ Religion _______

Nationality ___________ and _________________________ D/o _________________ R/o

__________________________ of _______________ Religion, Nationality _______________ Do hereby

solemnly affirm and declare as under: -.

1. That we were major at the time of our marriage and our marital Status was _____________ That our
Marriage was solemnized on ____________ at place ______________ as per __________ Rites and
Ceremonies.

2. That our Marriage has not been registered anywhere else prior to this application

3. That we fulfil the requirements as provided for in Chandigarh Compulsory Registration of Marriages Rules
2012 and Haryana Compulsory Registration of marriages Act as applicable to U.T., Chandigarh.
.

Deponents

Verification- Verified that the contents of this Affidavit are true and correct and nothing has been concealed therein.

Dated: - Deponents
 Late Affidavit

We________________________________________S/o_________________________________R/o

___________________________________________________________________________________________

_______ _________Religion________________ Nationality _________________and

Ms._____________________________D/o______________________________________________R/o_______

_______________________________________________________________________of__________________

_________Religion_________________Nationality_________________Do hereby solemnly affirm and declare

as under: -

1. That our Marriage was solemnized on __________________ at place____________________

as per _____________________ Rites and Ceremonies.

2. That I could not get registered our marriage on time as we were not aware of new marriage registration

act.

1.

2.

Deponents

Verification- Verified that the contents of this Affidavit are true and correct and nothing has been concealed therein.

1.

2.

Dated:- Deponents