APPLICATION FOR GRANT OF EXTRACT OF CHRISTIAN MARRIAGE REGISTER

(Under the Indian Christian Marriage Act 1872) (New / Correction)

Applicants
Name
Relationship Bride Groom Parent Others
Affix Rs.5/- Court Fee Label

Address

Phone
e-mail

To
The Registrar General of Marriages,
100, Santhome High Road, Chennai - 600 028.
Details of Marriage
1. Name of the Bride
2. Name of the Bride Groom
3. Date of Marriage (DD/MM/YYYY) __ __/__ __/__ __ __ __
4. Name of the Church, Place & District

5. Name of the Priest who Solemnized the

Marriage
6. Christianity Type CSI / R.C
7. Details of Marriage Extract forwarded to this office
Name of District Registrar office, Date of
forwarded Covering Letter & File No.(If
known)
In case of Archdiocese of Madras
(Santhome), Date of Chancellors
forwarded Letter
8. Whether the Marriage Certificate already
received from O/o. Inspector General of
Yes/No
Registration (this office)? If Yes, enclose
the photocopy of the same
9. No of copies required
Herewith I am remitting the fee for the same.
Place:
Date : Signature of the Applicant
NOTE: Marriage certificate should be applied by bride /bridegroom/ parents. In case the mentioned persons are unable to
come personally any one with authorized letter from either bride or bridegroom can apply.
The marriage certificate may be authorized with red seal from the following office (if required).
THE UNDER SECRETARY TO GOVERMENT, PUBLIC FOREIGNERS (DEPARTMENT, SECRETARIATE,CHENNAI-600009.
Office use
S.No. Search Fee
M.No. Copy Fee
Copy No. From To Total Fee
Admitted by: