Certificate of Marriage

(See section 13)
I, …………………, hereby certify that on the ………………..day of …………… 20…………., ………………….., and ………………...  appeared before me and that each of theme in my presence and in the presence of three witnesses who have signed hereunder made the declarations required by section 11 and that a marriage under this Act was solemnized between them in my presence.

(Sd.) 
…………………….
Marriage Officer for
(Sd.)
………………..
Bridegroom

(Sd.) 
….……………..
Bride
(Sd.) 
…………………
(Sd.) 				Three witnesses
…………………
(Sd.) 
….……………

Dated the ………………………… day of ………………. 20…………