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| width="3%" | '''Y''' | | width="3%" | '''Y''' | ||
| width="3%" | '''M''' | | width="3%" | '''M''' | ||
|- | |||
| width="25%" bgcolor="#CCFFFF" | Date of Marriage or License | |||
| width="3%" | {{Green check}} | |||
| width="3%" | | |||
|- | |- | ||
| width="25%" bgcolor="#CCFFFF" | Names of Bride and Groom | | width="25%" bgcolor="#CCFFFF" | Names of Bride and Groom | ||
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|- | |- | ||
| width="25%" bgcolor="#CCFFFF" | Names of Parents | | width="25%" bgcolor="#CCFFFF" | Names of Parents | ||
| width="3%" | | |||
| width="3%" | {{Green check}} | | width="3%" | {{Green check}} | ||
|- | |- | ||
| width="25%" bgcolor="#CCFFFF" | Husband's Occupation | | width="25%" bgcolor="#CCFFFF" | Husband's Occupation |