CERTIFICATE OF MARRIAGE CELEBRATED IN OTHER FORMS
I, E.F., hereby certify that A.B. and CD.* appeared before me this …………day of………. 20 and
that each of them, in my presence and in the presence of three witnesses who have signed hereunder have
declared that a ceremony of marriage has been performed between them and that they have been living
together as husband and wife since the time of their marriage, and that in accordance with their desire to
have their marriage registered under this Act, the said marriage has, this day of
20……..................... been registered under this Act, having effect as from.
(Sd.) E.F.,
Marriage Officer for
(Sd.) A.B.,
Husband.
(Sd.) C.D.
Wife.
(Sd.) G.H.
(Sd.) IJ. Three witnesses.
(Sd.) K.L.
Dated the day of 20.