Length of Residence: If present dwelling place not permanent: Permanent Dwelling place Dwelling Place: Age: Occupation: Condition: Fathers Name: Name of Bride: We hereby give you notice that a marriage was solemnized on as per rites and Customs between us as mentioned below. Now we intend to register our said marriage under Special Marriage Act,1954. The notice may kindly be accepted for such registration. The notice shall have the validity for 3(three) months only. The Second Schedule (See Section 15) FILLABLE FORM OF SPECIAL MARRIAGE ACT District. The special Marriage Officer for the To Condition: Fathers Name: Name of Bridegroom: Print Page 2 at the backside of Page 1Page 1 of 2 DevorceMarried Unmarried Widow Widower Married Widow Widower DevorceUnmarried Length of Residence: If present dwelling place not permanent: Permanent Dwelling place Dwelling Place: 3. 2. 1. Witness our hands this day of :- Signature of Wife Signature of Husband Age: Page 2 of 2 Occupation:
