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    Government of Maharashtra Health Department: Municipal Corporation of Greater Mumbai

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    Anand Shinde
    This document is a Memorandum of Marriage registration form containing details of the marriage between Mr. Shinde Anand Hemant and Ms. Naickar Dhanashree Guruswami that took place on December 9th, 2018 in Nashik, Maharashtra, India according to the laws of Maharashtra. It provides personal details of the bride and groom such as name, age, address, occupation as well as details of three witnesses to the marriage. It also notes that required documents have been provided including photo identification and proof of age and residence for all involved parties.

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    Government of Maharashtra Health Department: Municipal Corporation of Greater Mumbai

    Uploaded by

    Anand Shinde
    114 views6 pages
    This document is a Memorandum of Marriage registration form containing details of the marriage between Mr. Shinde Anand Hemant and Ms. Naickar Dhanashree Guruswami that took place on December 9th, 2018 in Nashik, Maharashtra, India according to the laws of Maharashtra. It provides personal details of the bride and groom such as name, age, address, occupation as well as details of three witnesses to the marriage. It also notes that required documents have been provided including photo identification and proof of age and residence for all involved parties.

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    This document is a Memorandum of Marriage registration form containing details of the marriage between Mr. Shinde Anand Hemant and Ms. Naickar Dhanashree Guruswami that took place on December 9th, 2018 in Nashik, Maharashtra, India according to the laws of Maharashtra. It provides personal details of the bride and groom such as name, age, address, occupation as well as details of three witnesses to the marriage. It also notes that required documents have been provided including photo identification and proof of age and residence for all involved parties.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    114 views6 pages

    Government of Maharashtra Health Department: Municipal Corporation of Greater Mumbai

    Uploaded by

    Anand Shinde
    This document is a Memorandum of Marriage registration form containing details of the marriage between Mr. Shinde Anand Hemant and Ms. Naickar Dhanashree Guruswami that took place on December 9th, 2018 in Nashik, Maharashtra, India according to the laws of Maharashtra. It provides personal details of the bride and groom such as name, age, address, occupation as well as details of three witnesses to the marriage. It also notes that required documents have been provided including photo identification and proof of age and residence for all involved parties.

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    Form D

    GOVERNMENT OF MAHARASHTRA

    HEALTH DEPARTMENT

    MUNICIPAL CORPORATION OF GREATER MUMBAI

    MEMORANDUM OF MARRIAGE
    Marriage Details Registration No. : 0050165827

    Date of Marriage: 09.12.2018 Ward : KW

    Personal Law according to which the marriage between the parties was solemnizes :
    MAHARASHTRA REGULATION OF MARRIAGE BUREAUS AND REGISTRATION OF MARRIAGES ACT 1998

    Place of Marriage(with full particulars) : Seasons Paradise, Near Sandip Foundation


    college, Mahiravani, Trimbak Road, NASHIK, 422213, Maharashtra, India.
    Mobile:9923110999,
    Husband Details

    Name of the Husband (Full name beginning with surname) : Mr. Shinde Anand Hemant

    Other names (if any) by which the husband is known :

    i. By Birth : Hindu

    ii. By adoption (if any) : Hindu

    Date of Birth & Age as on the date of the solemnization of marriage(Years): 04.01.1992
    & 26

    Status at the time of marriage (Unmarried/Widower/Divorced): Unmarried

    Full address at time of Marriage : C-505, Juhu Griha Swapna, Gulmohar Cross Road No4,
    J.V.P.D, Juhu, MUMBAI, 400049, Maharashtra, India.
    Tel(Off.):02226249683, Mobile:8169809424, Email :[email protected].

    Occupation along with office address:Others


    Wife Details

    Name of the Wife(Maiden Name) (Full name beginning with surname) : Ms. Naickar
    Dhanashree Guruswami

    Other names (if any) by which the Wife is known :

    i. By Birth : Hindu

    ii. By adoption (if any) : Hindu

    Date Of Birth & Age as on the date of the solemnization of marriage(Years): 18.05.1995
    & 23

    Status at the time of marriage (Unmarried/Widower/Divorced): Unmarried

    Residential address before or at time of Marriage : B-16, Nayantara Estate, Sambhaji


    Chowk, Near City Center Mall, NASHIK, 422002, Maharashtra, India.
    Mobile:8830360919,

    Occupation along with office address:Others

    Witness 1 Details

    Name of Witness 1: Mrs. Ashwini Ashok Dhuri

    Relation (if any) with the married couple: NEIGHBOR

    Address : B-503, Juhu Griha Swapna, Gulmohar Crossroad No.4, J.V.P.D, Juhu, MUMBAI,
    400049, Maharashtra, India.

    Occupation along with office address:Non workers

    Witness 2 Details

    Name of Witness 2 : Mrs. Uma Girish Tawde


    Relation (if any) with the married couple: RELATIVE

    Address : 301, Omakar Apartment, Shraddhanand Road, Near Saibaba Mandir, Vile Parle
    East, MUMBAI, 400057, Maharashtra, India.

    Occupation along with office address:Service Workers Arogyanidhi Hospital, N.S Road
    No13, Juhu, Vile Parle West, MUMBAI, 400049, Maharashtra, India.

    Witness 3 Details

    Name of Witness 3: Mr. Prasad Girish Tawde

    Relation (if any) with the married couple: RELATIVE

    Address : 301, Omakar Apartment, Shraddhanand Road, Near Saibaba Mandir, Vile Parle
    East, MUMBAI, 400057, Maharashtra, India.

    Occupation along with office address:Others

    Priest Details

    Name of Priest: Mr. Nilesh Waman Lawane

    Religion : Hindu

    Age (Years): 37

    Address : By3, Plot No.21, Mohadi Road, Nityanand Nagar, JALGAON, 425001, Maharashtra,
    India.

    Priest's Sign: ____________________________


    Checklist Details

    1. Memorandum of marriage Form D details are correctly entered :Yes

    2. Proof of age(Attested photocopy of any one of the following)


    a. For Bride,18 yrs(completed)
    1. School / College leaving certificate : No
    2. Birth certificate : No
    3. Passport : Yes
    4. Domicile : No
    5. SSC / HSC certificate : No

    b.For Bridegroom,21 yrs (completed)


    1. School / College leaving certificate : No
    2. Birth certificate : No
    3. Passport : Yes
    4. Domicile : No
    5. SSC / HSC certificate : No

    3. Whether residing within the jurisdiction of marriage registrar ?


    a. Bride : No
    b. Bridegroom : Yes

    4. Proof of residence (Attested photocopy of any one of the following)


    a. For Bride
    1. Ration card :No
    2. Election card :No
    3. Telephone bill(in the name of person) :No
    4. Electricity bill(in the name of person) :No
    5. Passport :Yes
    6. Adhaar card :No

    b. For Bridegroom
    1. Ration card : No
    2. Election card : No
    3. Telephone bill(in the name of person) : No
    4. Electricity bill(in the name of person) :No
    5. Passport :Yes
    6. Adhaar card :No

    5 Address proof of Witnesses

    a. For Witness 1
    1. Ration card :No
    2. Election card :No
    3. Telephone bill (in the name of person) :No
    4. Electricity bill(in the name of person) :No
    5. Passport :No
    6. Adhaar card :Yes

    b. For Witness 2
    1. Ration card :No
    2. Election card :No
    3. Telephone bill(in the name of person) :No
    4. Electricity bill(in the name of person) :No
    5. Passport :No
    6. Adhaar card :Yes
    c. For Witness 3
    1. Ration card :No
    2. Election card :No
    3. Telephone bill(in the name of person) :No
    4. Electricity bill(in the name of person) :No
    5. Passport :No
    6. Adhaar card :Yes

    6. Copy of wedding card :Yes


    Self declaration if wedding card not produced :

    7. Name and sign of the priest :Yes

    8. Passport size photographs of Bride,


    Bridegroom :Yes

    9. Divorcee : :No
    Court Decree
    a. Divorce certificate (Attested Copy) :
    b. Court Order (Attested Copy) :

    10. Widower :No


    a. Death Certificate :

    11. Nikahnama :No


    In case both bride and groom are of Muslim religion Nikahnama to be produced (If
    Nikahnama is issued in Urdu should be translated in English by the party)

    12. If Husband Wife are of different religion then as per the act either Husband or
    Wife have to convert his/her religion to match the religion of another to the said
    marriage prior to the date of marriage. In this case if one of the parties is
    converting himself/herself from his/her own religion (by birth) and adopting religion
    of the second party then they should produce following documents (if applicable):
    No

    a. Affidavit of party on the stamp paper of Rs.100/- :


    b. Self affidavit of priest/kazi on the stamp paper of Rs.100/- :
    c. Joint declaration on stamp paper of Rs.100/- :
    1. Husband Photograph 2. Wife Photograph

    1. Paste Photo of 2. Paste Photo of


    Husband here and Wife here and
    Sign within Sign within
    box below box below

    3. Witness 1 Photograph 4.Witness 2 Photograph 5.Witness 3 Photograph

    3. Paste Photo of 4. Paste Photo of 5. Paste Photo of


    Witness1 here Witness2 here Witness 3 here
    and Sign and Sign and Sign
    within box below within box below within box below

    Note:
    (A) Photos of husband, wife & 3- witnesses must be pasted in the respective box on
    the application form.

    B) Husband, wife & 3- witnesses are required to do signature on the application forms
    only in front of Sub-Registrar.

    C) Husband, wife & 3- witnesses all must be present in person in front of


    Sub-Registrar on the date of appointment.

    D) All required documents original & one set of gazette attested photo copy and the
    original application form & receipt must be produced to the Sub-Registrar on the date
    of appointment and photo copy set should be submitted to the Sub-Registrar office.

    E)Please check your email id Email :[email protected]. to view the receipts or


    application form or marriage registration certificate.

    F)While making final payment to get marriage certificate, applicant must log on to
    URL : http://portal.mcgm.gov.in and enter marriage registration no in payment receipt
    tab located under path : Citizen Services --> Health Services --> Marriage
    Registration.

    G)The applicant is hereby requested to recheck the PDF printout of the form for
    spelling mistakes & other corrections. If any corrections are required it should be
    brought to the notice of the Registrar at the time of appointment along with document
    proof wherever necessary.

    H)Applicant should note that once the application if approved by the Registrar and
    the Marriage Certificate is generated, after that no corrections what so ever will be
    made on the Marriage Certificate.

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