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