Book No. Page No- Year- CERTIFICATE OF MARRIAGE (Under section 13 of special Marriage Act,1954) Place of solemnization of marriage......(U.P)INDIA I ...........and Special Marriage officer,... ,hereby certify that on the of ,200..,MR...................And MISS.......... Appeared before me and that each of them , in my presence and in the presence of three witnesses who have signed here under, made the declaration required by Section 11 of the aforesaid act and that a marriage under this Act was solemnized between them in my presence. MARRIAGE OFFICER FOR ..... Date.......... (Sd-)......... (Bride) (Sd-)........ (Bridegroom) Three Witnesses Sd-........ Sd-........ Sd-......... Dated the of , 200.. 1-Mr. S/o R/o 2-Miss D/o R/o