SCHEDULE II (SEE SECTION 5) OF SPECIAL MARRIAGE ACT, 1954

To,

The Marriage Officer,
District _____,
________.

Sir,
We hereby give you notice that a marriage under Special Marriage Act, _____ is intended to be solemnized between us within _____ months from the date thereof:-

1- Groom         :   _____ Son of _____ Resident of _____
2 Bride        :   _____Daughter of  _____ Resident of _____
3 Marital Status    : Married / Un-married
4 Occupation        : _____
5 Date of Birth      : _____ and _____
6 Permanent Address: i) – Resident of _____
ii) – Resident of_____

7-   Whether both parties:      _____ (Unmarried, widow, divorcee)

Witness our hands this __ day of _____, _____ at _____.

Place:-_____

EXECUTANTS:
_____ (Groom)              _____(Bride)