The Special Marriage Act, 1954

Notice of Intended Marriage

(See Section 5)
To

Marriage Officer for the …………………….. District

We hereby give you notice that a marriage under the Special Marriage Act, 1954, is intended to be solemnized between us within three calendar months from the date hereof.

Name 	Condition	Occupation	Age	Dwelling Place	Permanent dwelling place, if present dwelling place not permanent	Length of residence	
…………	Unmarried Widower Divorcee						
…………	Unmarried Widow Divorcee						

Witnesseth our hands this ……………………….. day of …………….20……………..
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