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	: 01-06-2025
2	Place of Marriage	: NAYAK FALIYU, KANSUDI, JAFRABAD, GODHRA

3 (A)	Full name of bridegroom	: NAYAKA NILESHKUMAR PARSINBHAI
(B)	Date of birth	: 13-06-2001
(C)	His age	: 23 Years, 11 Months, 19 Days
(D)	Religion	: HINDU
(E)	Usual place of residence	: CHHARIYA, TA-GODHRA, DIST-PANCHMAHAL
(F)	Address	: NISHAL FALIYU, CHHARIYA
(G)	Status of bridegroom at the time of marriage, whether	: Unmarried
(H)	Signature of the bridegroom, with date	: .................................................

4 (A)	Full name of bride	: NAYAK KAILASBEN VITTHALBHAI
(B)	Date of birth	: 03-07-2001
(C)	His age	: 23 Years, 10 Months, 29 Days
(d)	Religion	: HINDU
(E)	Usual place of residence	: JAFRABAD, TA-GODHRA, DIST-PANCHMAHAL
(F)	Address	: NAYAK FALIYU, JAFRABAD
(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 :	: NAYAKA PARSINBHAI MANGALSINH
(B)	His age	: ADULT
(C)	Usual place of residence	: CHHARIYA, TA-GODHRA, DIST-PANCHMAHAL
(D)	Address	: NAYAK FALIYU, KANSUDI, JAFRABAD, GODHRA

6 (A)	Full name of the father or mother or guardian of the bride :	: NAYAK VITTHALBHAI MANABHAI
(B)	His age	: ADULT
(C)	Usual place of residence	: JAFRABAD, TA-GODHRA, DIST-PANCHMAHAL
(D)	Address	: NAYAK FALIYU, JAFRABAD

7 (A)	Full name of the Priest :	: BHAGORA DILIPBHAI MOTIBHAI
(B)	His age	: ADULT
(C)	Usual place of residence	: GODHRA, TA-GODHRA, DIST-PANCHMAHAL
(D)	Address	: VAGHADIYA VAS, BHURAVAV, GODHRA
(E)	Signature of the Priest, with date	: .................................................

8 (1)	(A) Full name of the first witnesst :	: BHIL VISHALKUMAR HEMAJI
	(B) Age	: ADULT
	(C) Address	: DASAMANA MANDIR PASE, JAFRABAD, TA-GODHRA, DIST-PANCHMAHAL
	(D) Signature with date	: .................................................
9 (1)	(A) Full name of the first witnesst :	: NAYAK LALABHAI RAYSINGBHAI
	(B) Age	: ADULTS
	(C) Address	: DASAMANA MANDIR PASE, JAFRABAD, TA-GODHRA, DIST-PANCHMAHAL
	(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	: 01-06-2025
2	Place of Marriage	: NAYAK FALIYU, KANSUDI, JAFRABAD, GODHRA

3 (A)	Full name of bridegroom	: NAYAKA NILESHKUMAR PARSINBHAI
(B)	Date of birth	: 13-06-2001
(C)	His age	: 23 Years, 11 Months, 19 Days
(D)	Religion	: HINDU
(E)	Usual place of residence	: CHHARIYA, TA-GODHRA, DIST-PANCHMAHAL
(F)	Address	: NISHAL FALIYU, CHHARIYA
(G)	Status of bridegroom at the time of marriage, whether	: Unmarried
(H)	Signature of the bridegroom, with date	: .................................................

4 (A)	Full name of bride	: NAYAK KAILASBEN VITTHALBHAI
(B)	Date of birth	: 03-07-2001
(C)	His age	: 23 Years, 10 Months, 29 Days
(d)	Religion	: HINDU
(E)	Usual place of residence	: JAFRABAD, TA-GODHRA, DIST-PANCHMAHAL
(F)	Address	: NAYAK FALIYU, JAFRABAD
(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 :	: NAYAKA PARSINBHAI MANGALSINH
(B)	His age	: ADULT
(C)	Usual place of residence	: CHHARIYA, TA-GODHRA, DIST-PANCHMAHAL
(D)	Address	: NAYAK FALIYU, KANSUDI, JAFRABAD, GODHRA

6 (A)	Full name of the father or mother or guardian of the bride :	: NAYAK VITTHALBHAI MANABHAI
(B)	His age	: ADULT
(C)	Usual place of residence	: JAFRABAD, TA-GODHRA, DIST-PANCHMAHAL
(D)	Address	: NAYAK FALIYU, JAFRABAD


7 (A)	Full name of the Priest :	: BHAGORA DILIPBHAI MOTIBHAI
(B)	His age	: ADULT
(C)	Usual place of residence	: GODHRA, TA-GODHRA, DIST-PANCHMAHAL
(D)	Address	: VAGHADIYA VAS, BHURAVAV, GODHRA
(E)	Signature of the Priest, with date	: .................................................

8 (1)	(A) Full name of the first witnesst :	: BHIL VISHALKUMAR HEMAJI
	(B) Age	: ADULT
	(C) Address	: DASAMANA MANDIR PASE, JAFRABAD, TA-GODHRA, DIST-PANCHMAHAL
	(D) Signature with date	: .................................................
9 (1)	(A) Full name of the first witnesst :	: NAYAK LALABHAI RAYSINGBHAI
	(B) Age	: ADULTS
	(C) Address	: DASAMANA MANDIR PASE, JAFRABAD, TA-GODHRA, DIST-PANCHMAHAL
	(D) Signature with date	: .................................................