Schedule ‘A’
Memorandum of Marriage
(Section 5 and 6)
Uttarakhand Compulsory Registration of Marriage Act, 2010
(It is mandatory to fill all the entries of this form)
To,
Registrar,
Compulsory Registration of Marriage,
…………………………………………….
District ……………………………………
Uttarakhand.
Sir,
The marriage has been solemnized on ……………….. (date) between
the undersigned parties of …………………………………………………(Mention
religion, convention, tradition applied to the parties) as per provisions applied
to us and we request that the following particulars of our marriage be
registered in Uttarakhand Compulsory Registration of Marriage Register.
Particulars of Marriage
1. Date of Marriage ………………………………………………………………….
2. Place of Marriage ……………………………. (with sufficient details of the
place so that it may be found easily)
3. Particulars of bridegroom ……………………………………………………….
a) Full name and occupation ………………………………………………
b) Native place (only particulars to be filled)
…………………………………………………………………………………
c) Age …………………………………………………………………………..
d) General place of livi ng (with PIN Code) ……………………………..
e) Permanent Address (with PIN Code)
…………………………………………………………………………………
…………………………………………………………………………………
f) Address at the time of making application (PIN code)
…………………………………………………………………………………
…………………………………………………………………………………
g) Status at the time of marriage – unmarried/widows/Divorcee
Particulars/serial no. of identification proofs.
Date: Signature of bridegroom
Note: - Regarding point no. a to g above, a verified copy of
necessary certificate, namely voter I.D card issued by Indian
Election Commission or PAN/GIR issued by Income Tax Department
or Photo Identity Card issued by a government department/
government undertaking/local body or pass book of a bank or Post
office wherein the photograph has been verified or Pension book or
disability certificate or Arms certificate or freedom fighter
identification certificate or birth certificate or death certificate of
spouse in case of a widower or decree of divorcee by a competent
court, in case of a divorcee or any ot her certificate, regarding the
age of the parties making the application and time of being present
for registration of memorandum of marriage, verified copy of
marriage invitation, if the date of marriage is earlier than two years
before or verified copy of any other certificate regarding the place of
solemnization of marriage should be enclosed.
4. Particulars of bride
a) Full name and occupation ………………………………………………
b) Native place (only particular to be filled) …………………………….
c) Age …………………………………………………………………………..
d) General place of living (with PIN code) ……………………………….
e) Permanent address (with PIN code) …………………………………..
f) Address at the time of making application (with PIN code) ……….
g) Status at the time of marriage – unmarried, widower/divorcee
Particulars/serial no. of identification proofs
Date ……………….. Signature of bride
Note:- Point no. a to g above, a verified copy of necessary certificate,
namely voter I.D card issued by Indian Election Commission or
PAN/GIR issued by Income Tax Department or Photo I dentity Card
issued by a government department/ government undertaking/local
body or pass book of a bank or Post office wherein the photograph has
been verified or Pension book or disability certificate or Arms
certificate or freedom fighter identification certificate or birth certificate
or death certificate of spouse in case of a widow or decree of divorcee
by a competent court, in case of a divorcee or any other certificate,
regarding the age of the parties making the application and time of
being present for registration of memorandum of marriage, verified
copy of marriage invitation, if the date of marriage is earlier than two
years before or verified copy of any other certificate regarding the
place of solemnization of marriage should be enclosed.
5. Full particulars of the father of the bridegroom: -
a) Full name ……………………………………………………………………
b) Age …………………………………………………………………………..
c) Occupation ………………………………………………………………….
d) General place of living ……………………………………………………
e) Address at the time of making application
…………………………………………………………………………………
f) If living or dead? …………………………………………………………..
Date: ……………. Signature of father of
the bridegroom
Note: - Signature of father of the bride is not obligatory.
6. Particulars of father or guardian of the bride.
a) Full name ……………………………………………………………………
b) Age …………………………………………………………………………..
c) Occupation ………………………………………………………………….
d) General place of living ……………………………………………………
e) Address at the time of making application (with PIN code)
…………………………………………………………………………………
f) Relation of guardian of the bride ………………………………………
Date: ………… Signature of father or guardian
of the bride
Note: - Where the age of the bride on the date of making
application, is above 18 years, the signature of father or guardian of
the bride is not obligatory but where the age of bride, on the date of
making application is below 18 years and such marriage is being
solemnized as per law in force at that time, the signature of father or
guardian of the bride shall be obligatory.
7. Particulars of officiating priest
a) Full name ……………………………………………………………………
b) Age …………………………………………………………………………..
c) General place of living ……………………………………………………
d) Address ……………………………………………………………………..
Note: - If on the date of application, one year has passed since the date
of marriage, the entries regarding the particulars of officiating priest are
not obligatory.
Date: ………….. Signature of officiating priest
Declaration
We, the undersigned solemnly declare under oath that as far as the
solemnization of our marriage is concerned, the particulars given in the
application are correct to the best of our knowledge and other are based on
information and are correct as per our belief. In case the information given is
found incorrect, the whole responsibility shall be of ours. May God help us.
8. Signature of bridegroom Signature of bride
Date: …………….. Date: ……………..
9 (1). Witness
a) Full name ……………………………………………………………
b) Father’s name ……………………………………………………..
c) Resident of (with PIN code) ……………………………………..
Particulars/serial no. of identification proofs
Signature
Date:
(2). Witness
a) Full name ……………………………………………………………
b) Father’s name ……………………………………………………..
c) Resident of (with PIN code) ……………………………………..
d) Particulars/serial no. of identification proofs …………………
Signature
Date:
Note:- Regarding the identification of witness a verified copy of
necessary certificates namely voter I.D card issued by commission on
PAN/GIR issued by Income Tax Department or Photo Identity Card
issued by a government department/government undertaking/local body
or pass book of a bank or Post office where in the photograph has been
verified or Pension book or disability certificate or Arms certificate or
freedom fighter identification certificate.
Verified by ………………………………………………. Name/Designation
Signature and Seal
Date:
(Shall be given by Member of Parliament, Member of State Legislature,
Gazetted officer, Pradhan of Gram Sabha, Sarpa nch of Nyay
Panchayat, Member/Chairman of Zila Panchayat, Member/Head of
Regional Committee, Member/Chairman of Municipal Board/Municipal
Corporation, Town Board, Cantonment Board, i.e., corporator / Member
/councilor/Chairman and in case any party to the marriage is a resident
outside of India, a letter of confirmation/NOC given by the Consul/
Deputy Consul of the country of his citizenship, situated in India.
Note: - Where any person does not verify the identity of both the parties
and all the other particulars, one or more persons may verify it.
Draft – B
(Vide sub-rule (1) of Rule – 5)
(Register of Registration of Marriage)
Under the Uttarakhand Compulsory Registration of Marriage Act, 2010
Sl. Date of Name, Date of Bridegroom’s Bride’s First Second Number of
No. submission of Father’s Marriage name, his name, her witness witness’ Registration
application name and mother’s or mother’s name his name his of Marriage
address of father’s or father’s present present and date of
the person name and name and address, address, issue of
submitting address, address, thumb thumb certificate
the thumb thumb impression impression
application impression impression and and
and identity and identity identity
particulars identity particulars particulars
along with particulars along with along with
serial along with serial serial
number serial number number
number
1 2 3 4 5 6 7 8 9
Draft – C
(Vide sub-rule (1) of Rule – 5)
(Register of Reversion or Rejection of Application)
Under the Uttarakhand Compulsory Regi stration of Marriage Act, 2010
Sl. Date of Name of person Names of parties Date Reverted Reason for
No. submission making the to the marriage, of or Reversion
of application, his Name of their Marriage Rejected or
application Father’s name and parents or Rejection
address guardian and
address
1 2 3 4 5 6 7
Draft – D
(Vide sub-rule (1) of Rule 6)
(Certificate of Compulsory Registration of Marriage)
Under the Uttarakhand Compulsory Registration of Marriages Act, 2010
This is to certify that as per particular given in Memorandum of
Marriage dated ………… of Shri ………………… Son of Shri ……………………
Resident of ………………………… and Shrimati …………………….. wife of Shri
……………………………… resident of …………………………the Memorandum
of Marriage solemnized on ………………at ………………….ha s been entered
at serial no. ……………….. at page no. ………………….of volume no………….
Date …………….. Signature
Registrar
Compulsory Registration of Marriages
Draft – E
(Vide sub-rule (2) of Rule – 6)
(Draft regarding return or rejection of application submitted
for compulsory registration of marriage)
Under the Uttarakhand Compulsory Registration of Marriages Act, 2010
The application dated.... submitted by Shri ……………….. which has
been made for registration of marriage solemnized between Shri
……………………… and Shrimati …………………………..on (date) …………..as
per memorandum, is being returned under sub -rule of Rule 13 of Uttarakhand
Compulsory Registration of Marriage Act, 2010 for the following reasons: -
…………………………………………………………………………………..
…………………………………………………………………………………..
and under clause (d) of of sub -rule (2) of Rule – 3 the application is entered
in serial no. …………. Year ………….. of Reversion and Rejection register.
Date ……………….. Signature
Registrar
Compulsory Registration of Marriages
Draft – F
(Vide sub-rule (3) of Rule - 6)
Under Uttarakhand Compulsory Registration of Marriages Act, 2010
(Draft regarding information to be given to local police
in connection with the application submitted for
compulsory registration of Marriage)
The Police Station Officer,
…………………………….,
District ……………………..
This is to inform you regarding the application dated……………made by
Shri………………. for registration of marriage solemnized between Shri
………………………and Shrimati………………….. on (date)……………as per
the memorandum, that the age of Shri ………………… resident of …………is
shown as …… years accordingly he is a minor.
Therefore above information is being given as per sub -rule (4) of Rule
– 6 of Uttarakhand Compulsory Registration of Marriage Act, 2010.
Date……………… Signature
Registrar
Compulsory Registration of Marriages
Draft – G
(Vide sub-rule (5) of Rule – 6)
(Draft of notice in case of non-registration)
Under Uttarakhand Compulsory Registration of Marriage Act, 2010
To,
Shrimati/Shri …………………………..
……………………………………………
……………………………………………
It has come to the notice (if the source is known, it ma y be mentioned,
but not necessarily) that the marriage has been solemnized between you
(mention the name of bride and bridegroom) on (date) …………… at (place)
………………………
It is hereby expected from you that you submit your Memorandum of
Marriage for registration along with the fees payable for this purpose, before
the undersigned in format prescribed in schedule ‘A’ as per Section – 5 of
Uttarakhand Compulsory Registration of Marriage Act, 2010. Be it known also
that on not doing so you may be prosecuted under Section – 12 of the above
Act.
Date…………… Signature
Registrar
Compulsory Registration of Marriages
Draft – H
(Vide Rule – 17)
(Draft of making index of entries in Marriage Register )
Under Uttarakhand Compulsory Registration of Marriages Act, 2010
Name, Date of Date of Parties in Date of Vol. Page Serial
Father’s submission Marriage the entering No. No. No.
Name and of declaration of
Address declaration letter of declaration
letter marriage letter
1 2 3 4 5 6 7 8
Draft – B
(Vide clause (d) of sub-rule (2) of Rule – 3)
Register of Reversion or Rejection of Applications
Sl. Date of Parties to Reverted Reason for
No. submission the or Reversion or
of application and marriage Rejected Rejection
Name of person making and Date
application of
Marriage
1 2 3 4 5
Draft – C
(Vide proviso to sub-rule (2) of Rule – 5)
Marriage Registration Acknowledgement Form
Application for registration of marriage between Shri ………….. and
Shrimati ……………………. has been submitted by Shri ………………..
Date ……………….. Signature
Deputy Registrar
Compulsory Registration of Marriages
Draft – D
(Vide sub-rule (2) of Rule – 6)
Form of Declaration
The application of Shri……….………….. is received by me on (date)
…………….. Rule – 6 (certificate enclosed) and entered in serial no. …………
of page no. ………… year ………. under Uttarakhand Compulsory Registration
of Marriage Act, 2010.
Date ……………… Signature
Deputy Registrar
Compulsory Registration of Marriages
Draft – E
(Vide sub-rule (3) of Rule – 6)
Draft of notice in case of non-registration
Under Uttarakhand Compulsory Registration of Marriages Act, 2010
To,
Shrimati/Shri ………………….
…………………………………..
…………………………………..
It has come to the notice (if the source is known, it may be mentioned,
but not necessarily) that the marriage has been solemnized between you
(mention the name of bride and bridegroom) on (date) ……….. at
(place)………………..
It is hereby expected from you that you submit your Memorandum of
Marriage for registration before the undersigned in format prescribed in
schedule ‘A’ as per Section – 5 of Uttarakhand Compulsory Registration of
Marriage Act, 2010, on not doing so you may be prosecuted under Section –
12 of the above Act.
Date……………… Signature
Registrar
Compulsory Registration of Marriages
Draft – F
Vide subrule (3) of Rule – 6
(Certificate of Compulsory Registration of Marriage)
Under Compulsory Registration of Marriage Act, 2010
This is to certify that as per particulars given in Memorandum of
Marriage dated……… of Shri…………………son of Shri………........ .............
and Shrimati……………......Daughter of Shri……………… the Memorandum of
marriage solemnized on (date)………… has been registered at serial
no……… at page no……… of volume no………on (date)………….. .
Signature
Deputy Registrar
Compulsory Registration of Marriages
Form – G
Vide sub-rule (4) of Rule – 6
(Under Compulsory Registration of Marriages Act, 2010)
(Draft regarding the information to be given to local police in connection
with the application submitted for compulsory reg istration of marriage)
The Police Station Officer,
………………………………..
District……………………….
Regarding the application dated…………..submitted by Shri……………
which as per memorandum has been submitted for registration of marriage
solemnized on (date)…………and which ha s been registered on ………(date),
serial no…… of page no…….of volume no……maintained in office, this is to
inform you that as per memorandum submitted the age of
Shri……………………son of Shri……………resident of…………………is shown
as ………………years. Accordingly he is a minor.
Therefore, this information is being given to you under sub -rule (4) of
Rule – 6 of Uttarakhand Compulsory Registration of Marriages Act, 2010.
Date………………… Signature
Deputy Registrar
Compulsory Registration of Marriage
