Marriage Certificate | Grampanchayat

MEMORANDUM OF MARRIAGE

( Section 5 of Gujarat Marriage Act,2006)

Date of Marriage :

Place of Marriage :
( with sufficient particulars to locate the place)

(a) Full name of bridegroom :

(b) Date of birth :

(Attach true copy of birth registration certificate or a true copy of school leaving certificate)

(d) Religion :

(d) Usual place of residence :

(d) Address :

(d) Status of bridegroom at the time of marriage, whether (Please ☐ mark whichever is applicable) :

(d) Full name of Bride :

(b) Date of birth :

(Attach true copy of birth registration certificate or a true copy of school leaving certificate)

(d) Religion :

(d) Usual place of residence :

(d) Address :

(d) Status of bridegroom at the time of marriage, whether (Please ☐ mark whichever is applicable) :

(a) Full name of the father or mother or guardian of the bridegroom :

(b) His age (at present):

(d) Address :

(a) Full name of the father or mother or guardian of the bride :

(b) His age (at present):

(d) Address :

(a) Full name of the Priest :

(b) Age :

(d) Address :

(1)

(a) Full name of the first witness :

(2)

(b) Age :

(3)

(d) Address :

(1)

(a) Full name of the second witness :

(2)

(b) Age :

(3)

(d) Address :

MEMORANDUM OF MARRIAGE

( Section 5 of Gujarat Marriage Act,2006)

Affix agreement stamp of Rs.200/- here

1	Date of Marriage	: 14-04-2025
2	Place of Marriage	: MAKHIYALA

3 (A)	Full name of bridegroom	: VEKARIYA KISHANKUMAR HARESHBHAI
(B)	Date of birth	: 15-08-1997
(C)	His age	: 27 Years, 7 Months, 30 Days
(D)	Religion	: HINDU
(E)	Usual place of residence	: AT - GHOGHAVADAR,
(F)	Address	: TA - GONDAL, DIST - RAJKOT
(G)	Status of bridegroom at the time of marriage, whether	: Unmarried
(H)	Signature of the bridegroom, with date	: .................................................

4 (A)	Full name of bride	: GAJERA JAGRUTI PARSHOTAMBHAI
(B)	Date of birth	: 20-06-2000
(C)	His age	: 24 Years, 9 Months, 25 Days
(d)	Religion	: HINDU
(E)	Usual place of residence	: AT - MAKHIYALA,
(F)	Address	: TA & DIST - JUNAGADH
(G)	Status of Bride at the time of marriage, whether	: Unmarried
(H)	Signature of the Bride, with date	: .................................................

5 (A)	Full name of the father or mother or guardian of the bridegroom :	: VEKARIYA HARESHBHAI CHHAGANBHAI
(B)	His age	: 57
(C)	Usual place of residence	: AT - GHOGHAVADAR,
(D)	Address	: TA - GONDAL, DIST - RAJKOT

6 (A)	Full name of the father or mother or guardian of the bride :	: GAJERA PARSHOTAMBHAI LAKHMANBHAI
(B)	His age	: 57
(C)	Usual place of residence	: AT - MAKHIYALA,
(D)	Address	: TA & DIST - JUNAGADH

7 (A)	Full name of the Priest :	: UPADHYAY KETAN GIRDHARLAL
(B)	His age	: 46
(C)	Usual place of residence	: AT - MAKHIYALA,
(D)	Address	: TA & DIST - JUNAGADH
(E)	Signature of the Priest, with date	: .................................................

8 (1)	(A) Full name of the first witnesst :	: GAJERA KISHORBHAI KANTIBHAI
	(B) Age	: 48
	(C) Address	: AT - MAKHIYALA, TA & DIST - JUNAGADH
	(D) Signature with date	: .................................................
9 (1)	(A) Full name of the first witnesst :	: GAJERA KHODIDAS NATHABHAI
	(B) Age	: 71
	(C) Address	: AT - MAKHIYALA, TA & DIST - JUNAGADH
	(D) Signature with date	: .................................................

Affix agreement stamp of Rs.200/- here

MEMORANDUM OF MARRIAGE

( Section 5 of Gujarat Marriage Act,2006)

1	Date of Marriage	: 14-04-2025
2	Place of Marriage	: MAKHIYALA

3 (A)	Full name of bridegroom	: VEKARIYA KISHANKUMAR HARESHBHAI
(B)	Date of birth	: 15-08-1997
(C)	His age	: 27 Years, 7 Months, 30 Days
(D)	Religion	: HINDU
(E)	Usual place of residence	: AT - GHOGHAVADAR,
(F)	Address	: TA - GONDAL, DIST - RAJKOT
(G)	Status of bridegroom at the time of marriage, whether	: Unmarried
(H)	Signature of the bridegroom, with date	: .................................................

4 (A)	Full name of bride	: GAJERA JAGRUTI PARSHOTAMBHAI
(B)	Date of birth	: 20-06-2000
(C)	His age	: 24 Years, 9 Months, 25 Days
(d)	Religion	: HINDU
(E)	Usual place of residence	: AT - MAKHIYALA,
(F)	Address	: TA & DIST - JUNAGADH
(G)	Status of Bride at the time of marriage, whether	: Unmarried
(H)	Signature of the Bride, with date	: .................................................

5 (A)	Full name of the father or mother or guardian of the bridegroom :	: VEKARIYA HARESHBHAI CHHAGANBHAI
(B)	His age	: 57
(C)	Usual place of residence	: AT - GHOGHAVADAR,
(D)	Address	: TA - GONDAL, DIST - RAJKOT

6 (A)	Full name of the father or mother or guardian of the bride :	: GAJERA PARSHOTAMBHAI LAKHMANBHAI
(B)	His age	: 57
(C)	Usual place of residence	: AT - MAKHIYALA,
(D)	Address	: TA & DIST - JUNAGADH


7 (A)	Full name of the Priest :	: UPADHYAY KETAN GIRDHARLAL
(B)	His age	: 46
(C)	Usual place of residence	: AT - MAKHIYALA,
(D)	Address	: TA & DIST - JUNAGADH
(E)	Signature of the Priest, with date	: .................................................

8 (1)	(A) Full name of the first witnesst :	: GAJERA KISHORBHAI KANTIBHAI
	(B) Age	: 48
	(C) Address	: AT - MAKHIYALA, TA & DIST - JUNAGADH
	(D) Signature with date	: .................................................
9 (1)	(A) Full name of the first witnesst :	: GAJERA KHODIDAS NATHABHAI
	(B) Age	: 71
	(C) Address	: AT - MAKHIYALA, TA & DIST - JUNAGADH
	(D) Signature with date	: .................................................