NOTICE OF INTENDED MARRIAGE
To
Marriage Officer for the .........................................................................District.
We hereby give you notice that a marriage under the Special Marriage Act, 1954, is intended to be
solemnized between us within three calendar months from the date hereof.
Name Condition Occupation Age Dwelling
place
Permanent place
dwelling if present
dwelling place not
permanent
Length of
residence
A.B. Unmarried
Widower
Divorcee
C.D. Unmarried
Widow
Divorcee
Witness our hands this ....................................day of...........................................20......
(Sd.) A.B.,
(Sd.) C.D.,