FORMAT OF APPLICATION FORM To The Marriage Officer, UT, Chandigarh. Sir, We hereby give you notice that a marriage under the special marriage Act, 1954 is to be registered u/s 15 between us within 3 calendar months from the date thereof. Name of Bridegroom : __________________________ Father's Name : __________________________ Date of Birth : __________________________ Permanent Address : __________________________ Temporary Address : __________________________ Date of Marriage : __________________________ Place of Marriage : __________________________ Name of Bride : __________________________ Father's Name : __________________________ Date of Birth : __________________________ Permanent Address : __________________________ Temporary Address : __________________________ That since the date of marriage, we are living as Husband and wife at ________________. That neither the party is lunatic. That we are not related to each other within the degrees of prohibited relationship. Witness our hands this ______th day of _______ 2006 _____________ Bridegroom _____________ Bride