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	: 06-02-2026
2	Place of Marriage	: JUNO KUMBHARAVD, AT&PO.LAKHANPOR, TA.PALSANA, DI.SURAT

3 (A)	Full name of bridegroom	: JENISHKUMAR JAYANTIBHAI PRAJPATI
(B)	Date of birth	: 27-11-1995
(C)	His age	: 30 Years, 2 Months, 10 Days
(D)	Religion	: HINDU
(E)	Usual place of residence	: VALOD
(F)	Address	: UTARTI BAZAR KUMBHARWAD, AT&PO.VALOD, TA.VALOD, DI.TAPI
(G)	Status of bridegroom at the time of marriage, whether	: Unmarried
(H)	Signature of the bridegroom, with date	: .................................................

4 (A)	Full name of bride	: MISTRY JENSEE UMAKANT
(B)	Date of birth	: 16-04-2001
(C)	His age	: 24 Years, 9 Months, 21 Days
(d)	Religion	: HINDU
(E)	Usual place of residence	: LAKHANPOR
(F)	Address	: JUNO KUMBHARAVD, AT&PO.LAKHANPOR, TA.PALSANA
(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 :	: MINABEN JAYNATIBHAI PRAJPATI
(B)	His age	: 49
(C)	Usual place of residence	: VALOD
(D)	Address	: UTARTI BAZAR KUMBHARWAD, AT&PO.VALOD, TA.VALOD, DI.TAPI

6 (A)	Full name of the father or mother or guardian of the bride :	: MISTRY UMKANTBHAI PARBHUBHAI
(B)	His age	: 51
(C)	Usual place of residence	: LAKHANPOR
(D)	Address	: JUNO KUMBHARAVD, AT&PO.LAKHANPOR, TA.PALSANA, DI.SURAT

7 (A)	Full name of the Priest :	: AMITKUMAR RAJUBHAI JOSHI
(B)	His age	: 45
(C)	Usual place of residence	: DHAMDOD LUMBHA
(D)	Address	: SHALIGRAM RESIDENCY, KADOD BARDOLI ROAD, DHAMDOD LUMBHA, TA.BARDOLI, DI.SURAT
(E)	Signature of the Priest, with date	: .................................................

8 (1)	(A) Full name of the first witnesst :	: BHUPENDRA DAYARAMBHAI MISTRY
	(B) Age	: 65
	(C) Address	: JUNO KUMBHARAVD, AT&PO.LAKHANPOR, TA.PALSANA, DI.SURAT
	(D) Signature with date	: .................................................
9 (1)	(A) Full name of the first witnesst :	: RATHOD TUSHAR SANJAYBHAI
	(B) Age	: 23
	(C) Address	: 60 GALA, AT&PO.LAKHANPOR, TA.PALSANA, DI.SURAT
	(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	: 06-02-2026
2	Place of Marriage	: JUNO KUMBHARAVD, AT&PO.LAKHANPOR, TA.PALSANA, DI.SURAT

3 (A)	Full name of bridegroom	: JENISHKUMAR JAYANTIBHAI PRAJPATI
(B)	Date of birth	: 27-11-1995
(C)	His age	: 30 Years, 2 Months, 10 Days
(D)	Religion	: HINDU
(E)	Usual place of residence	: VALOD
(F)	Address	: UTARTI BAZAR KUMBHARWAD, AT&PO.VALOD, TA.VALOD, DI.TAPI
(G)	Status of bridegroom at the time of marriage, whether	: Unmarried
(H)	Signature of the bridegroom, with date	: .................................................

4 (A)	Full name of bride	: MISTRY JENSEE UMAKANT
(B)	Date of birth	: 16-04-2001
(C)	His age	: 24 Years, 9 Months, 21 Days
(d)	Religion	: HINDU
(E)	Usual place of residence	: LAKHANPOR
(F)	Address	: JUNO KUMBHARAVD, AT&PO.LAKHANPOR, TA.PALSANA
(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 :	: MINABEN JAYNATIBHAI PRAJPATI
(B)	His age	: 49
(C)	Usual place of residence	: VALOD
(D)	Address	: UTARTI BAZAR KUMBHARWAD, AT&PO.VALOD, TA.VALOD, DI.TAPI

6 (A)	Full name of the father or mother or guardian of the bride :	: MISTRY UMKANTBHAI PARBHUBHAI
(B)	His age	: 51
(C)	Usual place of residence	: LAKHANPOR
(D)	Address	: JUNO KUMBHARAVD, AT&PO.LAKHANPOR, TA.PALSANA, DI.SURAT


7 (A)	Full name of the Priest :	: AMITKUMAR RAJUBHAI JOSHI
(B)	His age	: 45
(C)	Usual place of residence	: DHAMDOD LUMBHA
(D)	Address	: SHALIGRAM RESIDENCY, KADOD BARDOLI ROAD, DHAMDOD LUMBHA, TA.BARDOLI, DI.SURAT
(E)	Signature of the Priest, with date	: .................................................

8 (1)	(A) Full name of the first witnesst :	: BHUPENDRA DAYARAMBHAI MISTRY
	(B) Age	: 65
	(C) Address	: JUNO KUMBHARAVD, AT&PO.LAKHANPOR, TA.PALSANA, DI.SURAT
	(D) Signature with date	: .................................................
9 (1)	(A) Full name of the first witnesst :	: RATHOD TUSHAR SANJAYBHAI
	(B) Age	: 23
	(C) Address	: 60 GALA, AT&PO.LAKHANPOR, TA.PALSANA, DI.SURAT
	(D) Signature with date	: .................................................