APPENDIX - II

FORM I
(See Rule 5(1)(a)
Memorandum for Registration of Marriage

("√ " wherever applicable)

1. HUSBAND DETAILS
(a) Full Name of the
Husband (as per records)

(b) Religion Hindu Christian Muslim Others

if select "Others" specify :

(c) Age and Date of Birth D D / M M / Y Y Y Y Years

(d) Marital status before the Bachelor Married Divorcee Widower

date of Marriage Others Specify
if Married, mention No. of wives alive

(e) Occupation

(f) Residential Address

(g) Passport Number

(ID proof to be given)

1A. Details of parents' HUSBAND'S FATHER

(a) Full Name

(b) Age Years Alive/Deceased

(c) Address
(if alive)

1B. Details of parents' HUSBAND'S MOTHER

(a) Full Name

(b) Age Years Alive/ Deceased

(c) Address
(if alive)
2. WIFE DETAILS

(a) Full Name of the Wife

(as per records)

(b) Religion Hindu Christian Muslim Others

if select "Others" specify :

(d) Age and Date of Birth D D / M M / Y Y Y Y Years

(e) Marital status before the Spinster Divorcee Widow

date of Marriage Others Specify

(f) Occupation

(g) Residential Address

(h) Passport Number

(ID proof to be given)

2A. Details of parents WIFE'S FATHER

(a) Full Name

(b) Age Years Alive/ Deceased

(c) Address
(if alive)

2B. Details of parents WIFE'S MOTHER

(a) Full Name

(b) Age Years Alive/Deceased

(c) Address
(if alive)

2
 3. NRI - ADDITIONAL DETAILS OF HUSBAND
i. (a) Passport Number
(b) Passport Issued by
(c) Passport valid up to D D / M M / Y Y Y Y

ii. (a) Visa issued to the

country at the time of
registration
(b) Visa valid up to D D / M M / Y Y Y Y

iii. (a) Type of Resident Permanent / Temporary

(b) if Permanent, give details

iv. (a) Social Security No.

(If any)

4. NRI - ADDITIONAL DETAILS OF WIFE

i. (a) Passport Number
(b) Passport Issued by
(c) Passport valid up to D D / M M / Y Y Y Y

ii. (a) Visa issued to the

country at the time of
registration
(b) Visa valid up to D D / M M / Y Y Y Y

iii. (a) Type of Resident Permanent / Temporary

(b) if Permanent, give details

iv. (a) Social Security No.

(If any)

OTHER DETAILS
5. Name and Address of the
Priest who solemnized the
Marriage / was present in
the marriage.

6. Place, namely, the Village,

Taluk and District where Street
the marriage was
solemnized, with full
address. Village

Taluk

District

3
7. The date on which the D D / M M / Y Y Y Y
marriage was solemnized.

8. Whether the marriage was previously

registered under any other Act or Yes / No
Personal Law

if "YES" provide details:

(Attach – Certificate of/or Extract of
Marriage Register)

9. We hereby declare:-

(i) that a valid marriage was solemnized between us and that the marriage is
capable of being registered under section 3 of the Tamil Nadu Registration of
Marriages Act, 2009;
(ii) that the conditions prescribed in the respective personal laws intended for the
solemnization of marriages have been satisfied;
(iii) that the particulars given in this memorandum are true to the best of our
knowledge and belief;
(iv) that the two witnesses who have signed below were present at the time of the
solemnization of the marriage; and
(v) that no dowry was demanded or given or taken.

Thumb
Husband
Impression of the Signature of the Husband
Photo
Husband
Thumb
Wife
Impression of the Signature of the Wife
Photo
wife

Station: Signature of the Priest

Date :

10. Name and address of Witnesses:

Sl. Name Father’s/ Husband’s ID Signature

No. name and Address Details

4
 FORM ' II '
(See sub-rule5 (1)(a)
Application for filing Memorandum of Marriage

To,
The Registrar of Marriages,

Sub: Registration of marriage.

Sir,

A marriage has been solemnized between us on ____________ at

___________________ and we request that the particulars of our marriage be
entered in the Register of Marriages and that a Certificate of Registration
of Marriage be issued to us.

We hereby declare,
(1) that a valid marriage was solemnized between us and that the marriage is,
capable of being registered under section 3 of the Tamil Nadu
Registration of Marriages Act, 2009.
(2) that the conditions laid down in our Personal Law have been
satisfied
(3) that the particulars given in application are true to the best of our
knowledge and belief,
(4) that a memorandum of marriage duly filled in (in duplicate) along with
the prescribed fees and documents, is enclosed.

Signature ; _______________
(Husband)
______________________
( Wife)
Place :
Date:
Encl:-- (1) Memorandum of Marriage.
(2) Prescribed fees.
(3) Other documents:-- (a) ___________________________________
(b) ___________________________________
(c) ___________________________________
INSTRUCTIONS FOR FILLING UP THE APPLICATION AND
MEMORANDUM

1. The Memorandum shall be given in duplicate.

2. Passport size photo of both the parties to the marriage shall be affixed
in the Memorandum and another copy shall be enclosed.
3. Any one of the proofs mentioned in the rules shall be given to prove
the following :-
(i) Name
(ii) Age For the Parties to
(iii) Residence the marriage
(iv) Date and Place of marriage
(v) Photo identity for the witnesses and for the parties to the
marriage.
4. Self addressed and sufficiently stamped envelope shall be given
5. In Item 1(d) of the Memorandum, the marital status shall be indicated
by the parties to the marriage as per their personal law.
6. The fees shall be paid by Cash/ D.D./Bankers’ cheque, drawn in
favour of the Registrar of Marriages.
 GOVERNMENT OF TAMILNADU
FORM III
CERTIFICATE OF REGISTRATION OF MARRIAGE
(See rule 5 (7))

No. ............................................... .

Passport size Passport size

Husband's Photo Wife's Photo

This is to Certify that Thiru ........................................................................

(Name of Husband) S/o. Thiru ...................................................................

residing at ............................................................................................................

and Tmt. ...................................................................................... (Name of wife)

D/o. Thiru .............................................................................. residing at

.................................................................. have furnished the particulars in

Memorandum declaring that their marriage has been solemnized on

........................... at .................................................................... (place) and that

the same has been registered this day .................... of ..................... 2......... at

Serial No. ......................... of 2................ of Register of Marriages maintained

under the Tamil Nadu Registration of Marriages Act, 2009.

Signature of Registrar of Marriages.

Place :

Date : Seal:
 FORM ' IV'
(See rule 5(8) )

Order of refusal for registration of a marriage

No:_________

I, Registrar of Marriages, ____________ after scrutiny of memorandum

and other documents submitted with the same and after hearing the parties on
the ___________day of___________,20..... refuse to register the said marriage
between --------------------- (Husband), and ----------------------- (Wife) for the
following reasons.________________________________________________
_______________________________________________________________.

Place:: ____________
Date:: _____________
Signature ____________________

Registrar of Marriages

SEAL
 FORM'V'
(See sub-rule (1) of rule ii)
Register of Marriages

Register of Marriages for the year...

Sl.No. Date of Name of His age Religion Name of Her age Religion Date of
marriage husband at the of wife and at the of wife Registration
and and his time of Husband her time of
place of address marriage address marriage
marriage
1 2 3 4 5 6 7 8 9
 F O R M ' VI'
(See sub-rule (1) of rule ii)
Register of refusal of Marriages

Register of refusal of Marriages for the year ...................

Sl.No. Date of Name of His age Religion Name of Her age Religion Date of
marriage husband at the of wife and at the of wife Refusal
and and his time of Husband her time of
place of address marriage address marriage
marriage
1 2 3 4 5 6 7 8 9
 F O R M ' VII '
(See rule 15)
Application for obtaining certified copy / Certified extract

Date:
From: (Name and address of the person(s))

To,
The Registrar of Marriages,

Sub: Certified copy / Certified extract

Sir,
I, the undersigned, request you that—

(1) _______ (please write the number) certified copy / Certified extract
of the following document(s) may please be provided to me at the earliest.

* (a) a memorandum of marriage

* (b) a certificate of registration of a marriage
* (c) an order of refusal for registration of a marriage
* (d) the extract of the register of marriages

(2) The Particulars of Marriage—

(i) Name of the husband_____________________
(ii) Name of the wife_________________________
(iii) Date of registration of marriage__________________
(iv) Date and no. of a certificate of registration of marriage
_______________________________
(v) Date and no. of an order of refusal for registration of a
marriage___________________________

(3) The fees of Rs.______( rupees_________________________) is

enclosed herewith.
Place:: Yours faithfully,
Date: :
*Strike out which is not applicable.
 Þ¬í𢹠- II
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 ð®õñ¢-II
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