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Age. Dwelling
place.
Length of
residence.
Church,
chapel or
place of
worship in
which the
marriage is
to be
solemnized.
District in which
the other party
resides, when the
parties dwell in
different districts.
James
Smith. Widower. Carpenter.
of full age. 16, Clive
Sreet.
23 days. Free Church of Scotland Church,
Calcutta. Martha Green. Spinster.
……………….
Minor. 20, Hastings
Street. More than a
month.
and that the declaration1
[or oath], required by section 17 or 41 of the Indian Christian Marriage
Act, 1872 (15 of 1872), has been duly made by the said (James Smith).
Date of notice entered
Date of Certificate given
Witness my hand, this
The issue of this certificate has not been prohibited by any person
authorized to forbid the issue thereof.
day of seventy-two.
(Signed)
This certificate will be void, unless the marriage is solemnized on or before the day of
[The italics in the Schedule are to be filled up, as the case may be, and the blank division thereof is
only to be filled up when one of the parties lives in another district].
1. Ins. by Act 1 of 1903, s. 3, and the Second Schedule.
23
SCHEDULE III
1
[(See sections 28 and 31)]
FORM OF REGISTER OF MARRIAGES
Quarterly Returns
of
MARRIAGES
FOR
Calcutta.
The Archdeaconry of Madras.
Bombay.
I, ,Registrar of the Archdeaconry of Calcutta,
Madras,
Bombay,
do hereby certify that the annexed are correct copies of the originals and Official Quarterly Returns of
Marriage within the Archdeaconry
Calcutta,
of Madras, as made and transmitted to me for the quarter
Bombay,
commencing the day of ending the day
of in the year of Our Lord
[Signature of Registrar.]
Calcutta.
Registrar of the Archdeaconry of Madras.
Bombay.
Allahabad,
MARRIAGES solemnized at Barrackpore,
Bareilly,
Calcutta, etc., etc.
when
married.
Names of parties.
Year.
Month.
Day.
Christian.
Surname.
Age.
Condition.
Rank or
profession.
Residence at
the time of
marriage.
Father’s name
and surname.
By banns or
license.
Signatures of
the parties.
Signatures
Of two or more
witnesses present.
Signature of the
person solemnizing
the marriage.