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FORM I A

(See Rule 5(1)(a)

Memorandum for Registration of Marriage

Name and Address of the


Jamath conducted the
Marriage

1.

(a) Bridegrooms Name (as


in School Certificate)

(b) Age

BRIDEGROOMS DETAILS

Bridegrooms
Photo

Years

(c) Address

(d) Passport Number


(if applicable)
(e) Additional Information
about Bridegroom
including occupation

2. Details of parents'
(a) Name
(b) Age
(c) Address

BRIDEGROOM'S FATHER

Years

(if alive)

3. Details of parents'
(a) Name
(b) Age

BRIDEGROOM'S MOTHER

Years

(c) Address
(if alive)

4.

(a) Brides Name (as in


School Certificate)

(b) Age

BRIDES DETAILS

Brides Photo

Years

(c) Address

(d) Passport Number


(if applicable)
(e) Additional Information
about Bride including
occupation

5. Details of parents'

BRIDES FATHER
2

(a) Name
(b) Age

Years

(c) Address
(if alive)

6. Details of parents'
(a) Name

BRIDE'S MOTHER

(b) Age

Years

(c) Address
(if alive)

7. Details about Mahar

8.
a. Name and Address of the
Khazi/Imam who
conducted the Marriage

OTHER DETAILS

b. Date of the Marriage &


Time of the Marriage

/
:

/
:

Y
AM

Y
/

Y
PM

c. Full Address of the Venue


of Marriage

d. Signature of the
Khazi/Imam

Signature of the Bridegroom

Signature of the Bride


3

9.

DETAILS ABOUT VALI (GUARDIAN OF BRIDE)


(a) Name of the Vali
(b) Valis Father Name
(c) Relationship
(d) Address

e) Signature of Vali
10.

(a) Name

VAKILS DETAILS (REPRESENTATIVE OF VALI)

(b) Father Name


(c) Address

(d) Signature
11.
No
.

Name

DETAILS ABOUT WITNESSES


Fathers name
Address

Signature

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