Certificate of Receipt of Notice

(See sections 24 and 50)

I, …………………………., do hereby certify that on the day of …………………….. notice was duly entered in my Marriage Notice Book of the marriage intended between the parties therein  named and described, delivered under the hand of …………………. one of the parties (that is to say):-

…………	Mr…………	Name	
Spinster	Bachelor	Condition	
…………	…………	Rank of profession	
Age…….	Age…………	Age	
…………	[Add]…………	Dwelling Place	
………… a year	……. Days	Length of residence	
(Catheral Church) Delhi		Church, chapel or place of Worship in which the marriage is to be solemnized	
		District in which the other Party resides when the parties Dwell in different districts.	

and that the declaration, or oath required by section 17 or 41 of the Indian Christian Marriage Act, 1872 (15 of 1872) has been duly made by the said (Johny Brown)

Date of notice entered	The issue of this certificate has not been prohibited by any person authorized to given forbid the issue thereof.	
Date of Certificate		

Witnesseth my hand, this ……………….. day of ………….. 20 ……

(Signed)