FORM "D"
MEMORANDUM OF MARRIAGE

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Note: Fields Marked with * are Mandatory, Please read the instructions carefully before filling the form.
MARRIAGE DETAILS
 
Date of Marriage* Click to Enter Date (Click Calendar,for Date of Marriage)
(Once application form Submitted,cannot change Marriage Date)
Ward*
Personal Law according to which the marriage between the parties was solemnized *
 
Place of Marriage* House No
Street1* Street2
Area1* Area2
* *
Country * State *
Tel (Res.) Tel (Off.)
  (STD Code)   (STD Code)
Mobile

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HUSBAND DETAILS
 
Name of Husband
 
Title* First Name* Middle Name* Last Name*
Other Name(if any)
Title First Name Middle Name Last Name
धर्म / Religion
Religion by Birth*
Religion by Adoption
 
Age as on the date of solemnization of marriage (Click Calendar, Date of Birth for Age calculation)
Click to Enter Date  
Years Months जन्म दिनांक /Date of Birth*  
 
Status at the time of marriage*
व्यवसाय/नोकरी / Occupation *
 
Residential Address *
House Name* House No
Street1 * Street2
Area1* Area2
City* *
Country* State*
Tel (Res.)
  (STD Code) (Receipts and Certificate will be sent on this Email ID )
Mobile * *
 
Office Address (Please Tick if Not Applicable)  
House Name* House No
Street1* Street2
Area1* Area2
* *
Country* State *
Tel (Off.)
  (STD Code)  
Mobile

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WIFE DETAILS
 
Name of Wife (Maiden Name)*
Title* First Name* Middle Name* Last Name*
Other Name(if any)
 
Title First Name Middle Name Last Name
धर्म / Religion
Religion by Birth*
Religion by Adoption
 
Age as on the date of solemnization of marriage* (Click Calendar, Date of Birth for Age calculation)
Click to Enter Date  
Years Months जन्म दिनांक /Date of Birth*  
 
Status at the time of marriage*
व्यवसाय/नोकरी / Occupation *
 
Residential Address before or at the time of Marriage *    
House Name* House No
Street1 * Street2
Area1* Area2
City* *
Country* State*
Tel (Res.)
  (STD Code)  
Mobile *
 
Office Address (Please Tick if Not Applicable)  
House Name* House No
Street1* Street2
Area1* Area2
* *
Country * State *
Tel (Off.)
  (STD Code)  
Mobile

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WITNESS1 DETAILS
 
Name of Witness1*
 
Title* First Name* Middle Name* Last Name*
Relation (if any) with the married couple
व्यवसाय/नोकरी / Occupation *
 
Residential Address *
House Name* House No
Street1 * Street2
Area1* Area2
City* *
Country* State*
Tel (Res.)
  (STD Code)
Mobile *
 
Office Address (Please Tick if Not Applicable)  
House Name* House No
Street1* Street2
Area1* Area2
* *
Country * State *
Tel (Off.)
  (STD Code)  
Mobile

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WITNESS2 DETAILS
 
Name of Witness2*
 
Title* First Name* Middle Name* Last Name*
Relation (if any) with the married couple
व्यवसाय/नोकरी / Occupation *
 
Residential Address *
House Name* House No
Street1 * Street2
Area1* Area2
City* *
Country* State*
Tel (Res.)
  (STD Code)
Mobile *
 
Office Address (Please Tick if Not Applicable)  
House Name* House No
Street1* Street2
Area1* Area2
* *
Country * State *
Tel (Off.)
  (STD Code)  
Mobile

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WITNESS3 DETAILS
 
Name of Witness3*
 
Title* First Name* Middle Name* Last Name*
Relation (if any) with the married couple
व्यवसाय/नोकरी / Occupation *
 
Residential Address *
House Name* House No
Street1 * Street2
Area1* Area2
City* *
Country* State*
Tel (Res.)
  (STD Code)
Mobile *
 
Office Address (Please Tick if Not Applicable)  
House Name* House No
Street1* Street2
Area1* Area2
* *
Country * State *
Tel (Off.)
  (STD Code)  
Mobile

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PRIEST DETAILS
 
Name of Priest*
 
Title* First Name* Middle Name* Last Name*
 
धर्म / Religion*    
Age (Click Calendar, Date of Birth for Age calculation)
Click to Enter Date  
Years Months जन्म दिनांक /Date of Birth*  
 
Residential Address *
House Name* House No
Street1 * Street2
Area1* Area2
City* *
Country* State*
Tel (Res.)
  (STD Code)
Mobile
 
Mode of payment * Online
Mobile No.(SMS will be sent on this No.)*


Checklist Details
1. Memorandum of marriage Form D details are correctly entered * Yes No
2. Proof of Age (Attested photocopy of any one of the following)
a. For Bride:18 yrs(completed) *
a. School/ College leaving certificate
b. Birth certificate
c. Passport
d. Domicile certificate
e. SSC / HSC certificate
b. For Bridegroom:21 yrs (completed) *
a. School/ College leaving certificate
b. Birth certificate
c. Passport
d. Domicile certificate
e. SSC / HSC certificate
3.Whether residing within the jurisdiction of Marriage Registrar?
a. For Bride * Yes No
b. For Bridegroom * Yes No
4. Proof of residence (Attested photocopy of any one of the following)
a. For Bride *
a. Ration Card
b. Election Card
c. Electricity bill (in the name of person)
d. Telephone bill (in the name of person)
e. Passport
f. Aadhar Card
g. Others
b. For Bridegroom *
a. Ration Card
b. Election Card
c. Electricity bill (in the name of person)
d. Telephone bill (in the name of person)
e. Passport
f. Aadhar Card
g. Others
PAN
GST Number
Aadhaar Number(UIN Number)
Registered
HSN Code
SAC Number
Activity Code
Description of Activity
Branch
5. Address proof of Witnesses *
a. Witness 1 *
a. Ration card Yes No
b. Election card Yes No
c. Telephone bill (in the name of person) Yes No
d. Electricity bill (in the name of person) Yes No
e. Passport Yes No
f. Aadhar card Yes No
g. Others Yes No
b. Witness 2 *
a. Ration card Yes No
b. Election card Yes No
c. Telephone bill (in the name of person) Yes No
d. Electricity bill (in the name of person) Yes No
e. Passport Yes No
f. Aadhar card Yes No
g. Others Yes No
c. Witness 3 *
a. Ration card Yes No
b. Election card Yes No
c. Telephone bill (in the name of person) Yes No
d. Electricity bill (in the name of person) Yes No
e. Passport Yes No
f. Aadhar card Yes No
g. Others Yes No
6. Copy of Wedding card * Yes No
Self declaration if wedding card not produced * Yes No
7. Name and sign of the priest * Yes No
8. Passport size photographs of Bride, Bridegroom * Yes No
9. Divorcee Yes No
Court Decree
a. Divorce certificate (Attested Copy) Yes No
b. Court Order (Attested Copy) Yes No
10. Widower Yes No
a. Death Certificate Yes No
11. Nikahnama: In case both bride and groom are of Muslim religion Nikahnama to be produced (If Nikahnama is issued in Urdu should be translated in English by the party) Yes No
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) Yes No
a. Affidavit of party on the stamp paper of Rs.100/- Yes No
b. Self affidavit of priest/kazi on the stamp paper of Rs.100/- Yes No
c. Joint declaration on stamp paper of Rs.100/- Yes No