CORPORATION OF COCHIN COCHIN-11 APPLICATION FOR MARRIAGE CERTIFICATE I request to issue me a marriage certificate. The details are given below: 1. Name & Address of the applicant 2. Name of Husband. 3. Name of wife 4. Date of Marriage 5. Date of Registration of Marriage. 6. Registration No 7. Details of remittance (a) Amount Rs. (b) Chalan No (c) Date: Place : Date : Name & Signature of the applicant. For instructions see overleaf.
