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,

Complete Address of passport size, Both Husband Wife to Sign/thumb
Marriage * impression across their photo.

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
Passport Number
Social Security No.
Passport Validity
Date
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 No
(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 (Available in DOWNLOAD section)
2 Joint Affidavit (Available in DOWNLOAD Section along with Marriage Entry Form)
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 Three Unique/Distinct postcard size wedding photo (At least one with Both witnesses at the time of Marriage)
8 Proof of Marriage(Any one In case of registration only)
 Certificate from religious institution or priest who solemnized the wedding
 Nikah Nama
 Marriage Card
 Proof of Hotel booking/Bills/Receipts/Permission from competent authority for venue booking
9 Self-Declaration form from both witnesses Groom Side & Bride side (Available in DOWNLOAD Section along with Marriage Entry
Form)
10 Identity Proof of both witnesses Groom side and Bride side.
11 Divorce Decree in case of Divorcee
12 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 (Available in DOWNLOAD Section along with Marriage Entry Form)

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  Birth certificate issued by a Municipal
 Driving License card Authority or any office authorized to issue
 Election Commission Photo Id  Aadhaar Card / E-Aadhaar letter Birth and Death Certificate by the Registrar
Card issued by government of India. of Births & Deaths
 Aadhaar Card/E-Aadhaar issued  Driving License  School leaving certificate / Secondary
by Government of India  Passport School leaving certificate/ Certificate of
 Domicile Certificate  Arm’s License with Photo Graph Recognized Boards from the school last
 Central Government Health attended by the applicant or any other
recognized educational institution.
Scheme Card or Ex-servicemen
Contributory Heath Scheme  Passport
photo card  Self Affidavit regarding age
 Applicant's current and valid ration  Medical Certificate Indicating Age
card with Photograph
 Photo identity card issued by the
Affix Rs. 10 Court Fee Central 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
 Self declaration from the Witness (Groom side)

I ……………………………………………………………………………………………S/o/D/o Sh. ……………………………………………………R/o

………………………………………………………………………………………………. do here by declare as under:-

The marriage of Sh. ………………………………………………………………. S/o Sh. ……………………………………………… R/o

………………………………………………………………………….. solemnized on ……………………………………………………………………………... as

Hindu/Muslim/Sikh/Christian ………………………………… rituals with Smt. ………………………………………………………………… D/o

Sh. ………………………………………………………………………. R/o ……………………………………….. at ……………………………………………… in

my presence.
Dated

Place Witness

Verification

Certified that the above information is true and correct to the best of my knowledge and belief and

nothing has been concealed there in.

Witness
 Self declaration from the Witness (Bride side)

I ……………………………………………………………………………………………S/o/D/o Sh. ……………………………………………………R/o

………………………………………………………………………………………………. do here by declare as under:-

The marriage of Smt. ……………………………………………………………. D/o Sh. ……………………………………………… R/o

………………………………………………………………………….. solemnized on ……………………………………………………………………………... as

Hindu/Muslim/Sikh/Christian ………………………………… rituals with Sh. ……………………………………………………………………. S/o

Sh. ………………………………………………………………………. R/o ……………………………………….. at ……………………………………………… in

my presence.

Dated

Place Witness

Verification

Certified that the above information is true and correct to the best of my knowledge and belief and

nothing has been concealed there in.

Witness