Government of Tamil Nadu Registration Department Application for Registration of Marriage At Private Residence To The Marriage Registrar 1. Name and Address of the Applicant : 2. Whether Bride or Bridegroom (or Husband or Wife) : 3. Place of solemnization of Marriage : 4. Place of registration with the full Address to which the Marriage Registrar to visit. : 5. Date and time at which the registration is to be made : 6. Name and address of the bridegroom/ husband : 7. Name and address of the bride/ wife : I hereby request you to be kind enough to visit the above mentioned place in column 4 above and register the marriage. Place: Date: SIGNATURE OF THE APPLICANT
