Book No. Page No- Year- CERTIFICATE OF MARRIAGE (Under section 13 of special Marriage Act,1954) Place of solemnization of marriage…………..(U.P)INDIA I ……………………………and Special Marriage officer,……… ,hereby certify that on the of ,200……,MR……………………………….......And MISS………………………. Appeared before me and that each of them , in my presence and in the presence of three witnesses who have signed here under, made the declaration required by Section 11 of the aforesaid act and that a marriage under this Act was solemnized between them in my presence. MARRIAGE OFFICER FOR …………. Date…………………….. (Sd-)……………………. (Bride) (Sd-)…………………… (Bridegroom) Three Witnesses Sd-…………………… Sd-…………………… Sd-……………………. Dated the of , 200…. 1-Mr. S/o R/o 2-Miss D/o R/o