Amendment status not verified — confirm the current text below against the official source.
(a) Full Name of the bride. (b) Father’s Name/Mother’s Name. (c) Her age at the time of marriage. (d) Usual place of residence. (e) Address: (f) Status of the Bride at the time of marriage. (Whether Unmarried/Widow/Divorced). Signature of the Bride. [Act No.15 of 2002] 13 WITNESSES: