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[Form I]
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See Rule : 4
MEMORANDUM OF MARRIAGE

Joint photo of the bride and bridegroom

(To be attested by bride and bridegroom)

1. Date of Marriage 30/04/2023

2. Place of Marriage (with sufficient Hebsur Bhavan,
Green Garden, Gokul Road, Hubballi - 580021
particulars to locate the place):
3. (a) Full name of the bridegroom SanthoshV
(b) Name of the Father Visweswarappa S
(c) Name of the Mother Manjula S U
(d) His age 36 Years
(e) Usual place of residence Bangalore
No 38/39, Basava Sadana, 2nd Cross, Central Excise Layout,
(f) Address Shivaram Karanth Nagar Post, Bangalore - 560077

(g) Status of the bridegroom at the

time of Marriage. Whether Unmarried
unmarried/widower/divorced:
(h) Signature of the bridegroom, with
date:
4. (a) Full name of the bride Suman Yaliwal
(b) Name of the Father Prabhulingappa S Yaliwal
(c) Name of the Mother Mangala
(d) Her age 33 Years
(e) Usual place of residence Hirehonnihalli
(f) Address Hirehonnihalli, Kalgatagi Tq, Dharwad Dist.
(g) Status of the bride at the time of
Unmarried
Marriage. Whether unmarried / widow
/ divorced:
(h) Signature of the bride, with date:
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5. (a) Full name of witness:

(Specify the Blood relation if Basavaraj Yaliwal (Brides Elder Brother)
any with bride or bridegroom)
(b) His / her age 35 Years
(c) Usual place of residence Hirehonnihalli
(d) Address Hirehonnihalli, Kalgatagi Tq, Dharwad Dist
(e) Signature of the witness with date:
6. (a) Full name of witness: Prashanta S Nenakki
(Specify the Blood relation if
any with bride or bridegroom)
(b) His / her age 28 Years
(c) Usual place of residence Hirehonnihalli,
(d) Address Hirehonnihalli, Kalgatagi Tq, Dharwad Dist
(e) Signature of the witness with date:
7. (a) Full name of witness: Manjunath Talavar
(Specify the Blood relation if
any with bride or bridegroom)
(b) His / her age 37 years
(c) Usual place of residence Hirehonnihalli,
(d) Address Hirehonnihalli, Kalgatagi Tq, Dharwad Dist
(e) Signature of the witness with date:
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[FORM – IA]

(See rule 4(2) )

Application for filling of Marriage Memorandum

To:

The Registrar of Marriage,

Under Hindu Marriage Act,
Rajajinagar.

Sir,

Marriage in accordance with the provisions of Hindu Marriage Act, 1955 (Act
No.25 of 1955) has been solemnized between us, the undersigned parties on 12-7-2000
and we request that the following particulars of our marriage be entered in the Hindu
Marriages Register.
We hereby declare,

(I) That a valid marriage was solemnized between us and that the marriage is,
capable of being registered under section 8 of the marriage is, capable of
being registered under section 8 of the Hindu Marriage Act, 1955 (Central Act
25 of 1955)
(II) That the conditions laid down in section 5 of the said Act have been satisfied
and
(III) That the particulars given in application are true to the best of our knowledge
and belief.

Signature

1) Husband

2) Wife
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FORM II

[Karnataka Rule 4 (4) under Hindu Marriage Act, 1955]

Endorsement to be made on the reverse of the memorandum and duplicate

The memorandum was received by me on ........................19 and this memorandum is

filed at Serial No....................... on page................. of volume .....................of the Register

of Marriage maintained under the Hindu Marriage Act, 1955 (25 of 1955).

Date............. (Signature)

Registrar of Marriage

1. Inserted by Registration of Hindu Marriages (Karnataka) (Amendment) Rules, 1999 w.e.f. 8-6-2000.
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GOVERNMENT OF KARNATAKA

1
[FORM II-A]
(See rule 4(5))
CERTIFICATE OF REGISTRATION OF MARRIAGE
(Under the Hindu Marriage Act, 1955)

This is to certify that Smt............................... ...........................

D/o. ..................................................... and Sri ........................... ...................
S/o. ............................ have furnished the particulars in memorandum
declaring that their marriage has been solemnised on ............. and that the
same has been registered this day .......of .........200.....

Registrar of Marriage,
Station:
Date: Seal
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FORM III

[Karnataka Rule 5(1) under Hindu Marriage Act, 1955)

Certificate affixed to memorandum.

Certified that the above which contains Sl. No........ to Sl No....... are duplicate copies of

all the Memoranda filed in the Register maintained by me under the Hindu Marriage Act,

1955 (25 of 1955) during the month of ....................19

Dated the ..................................day of ..................................19

Registrar of Marriage.

1. Inserted by Registration of Hindu Marriages (Karnataka) (Amendment) Rules, 1999 w.e.f. 8-6-200