Schedule-4
(Relating to Rule 5)
Marriage Notification Form
(To be filled by the informer)
To the Local Registrar,
Ward No————————-Rural municipal/Municipality.
————————————-District, —————-Province
Sir,
I have appeared to give information of the marriage, setting out the following details. It is requested that the marriage be registered according to the law.
- Details of the Marriage.
Type of Marriage: As Social Custom As Per Marriage Registration Act, 2028
As per General Civil Code, 2074
Date of Marriage: [B.S] (yy/mm/dd):_______ [A.D] (dd/mm/yy)__________
Place of solemnization of the marriage:
Province : ______ Rural Municipality /Municipality: ________
Ward. No: _____ Road/Marga: ______ Village/Tole:________
House No. _______
Marriage in case of abroad [In Nepali: Country/State/Local Address]
Marriage in case of abroad [In English: Country/State/Local Address]
- Details of Bride and Bridegroom
| Details of Bridegroom | Details of Bride | |
| Name [In Nepali] | ||
| First Name | ||
| Middle Name | ||
| Surname | ||
| Name [In English] | ||
| First Name | ||
| Middle Name | ||
| Surname | ||
| Date of Birth | ||
| In [B.S] [YY-MM-DD] | ||
| In [AD] [DD-MM-YY] | ||
| Pre-Marital Status | ||
| Citizenship Certificate Number /Birth Registration Number | ||
In the case of registered marriage:
Registration No.
Body:
| Permanent address | In Nepali | In English |
| Province | ||
| Rural Municipality/Municipality | ||
| Ward No. | ||
| Road/street | ||
| Village | ||
| House No. | ||
| If foreigner, Passport No, country, and date of issue | ||
| Education | ||
| Occupation | ||
| Religion | ||
| Jatjati | ||
| Grandfather’s name (in Nepali) | ||
| First Name | ||
| Middle Name | ||
| Surname | ||
| Grandfather’s name (in English) | ||
| First Name | ||
| Middle Name | ||
| Surname | ||
| Father’s name (in Nepali) | ||
| First Name | ||
| Middle Name | ||
| Surname | ||
| Father’s name (in English) | ||
| First Name | ||
| Middle Name | ||
| Surname | ||
| Mother’s name (in Nepali) | ||
| First Name | ||
| Middle Name | ||
| Surname | ||
| Mother’s name (in English) | ||
| First Name | ||
| Middle Name | ||
| Surname |
- The informer’s details:
Covenanting that the details mentioned herein are true and correct, and if proved false, I shall bear and pay, I, the informer, herby sign:
In the case of informer other than spouse
First name Middle Name Surname
Address:
Province: Rural Municipality/Municipality
Ward No Road Village/Tole:
House No.:
(If Nepali) Citizenship certificate number/identification number
If foreigner, passport number in Nepali:
Name of the country of issue:
If foreigner, passport number in English:
Name of the country of issue:
Date when form filled up: (Y- M- D)
(To be filled up by the Local Registrar)
| Local Registrar’s name: | |
| Employee ID No. | |
| Form registration number: | |
| Form registration date: | |
| Record number of the family: | |
| Office (Rural Municipality/Municipality/Ward No.): |
Documents to be attached:
- Copy of bride and bridegroom’s citizenship certificate:
- In the case of any one being resided abroad, authorized power of attorney certified by Nepali Embassy situated abroad:
- In the case of absence of bride or bridegroom, document establishing relationship issued by the court:
Auto-size photos of both of them: