Marriage Declaration Form for CMHIS Beneficiaries
This Marriage Declaration Form is designed for beneficiaries of the CMHIS who lack a formal Marriage Certificate. It serves as an official affirmation of their marital status and allows access to benefits. Utilize this form to ensure eligibility and comply with the requirements of the scheme.
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How do I fill this out?
To fill out the Marriage Declaration Form, ensure you have the necessary information at hand. Start by providing your personal details, followed by the details of your spouse. Follow the instructions closely to ensure all sections are completed accurately.

How to fill out the Marriage Declaration Form for CMHIS Beneficiaries?
1
Gather necessary personal and spouse information.
2
Fill in the required details including addresses and dates.
3
Attach the required passport photographs.
4
Sign the declaration to affirm the provided information.
5
Submit the completed form as per the guidelines.
Who needs the Marriage Declaration Form for CMHIS Beneficiaries?
1
Couples seeking to register their marriage for CMHIS benefits.
2
Individuals who require a legal affirmation of their marital status.
3
Residents of Nagaland who do not possess a marriage certificate.
4
Beneficiaries who want to ensure compliance with the CMHIS guidelines.
5
Anyone living together as a married couple needing formal recognition.
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Open the Marriage Declaration Form in PrintFriendly.
2
Click on the text fields to edit any information needed.
3
Add any missing details in the blank spaces provided.
4
Review your edits for accuracy.
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What are the instructions for submitting this form?
To submit the Marriage Declaration Form, ensure it is fully completed and signed. You can submit the form via email at cmhis.nagaland@gov.in or by fax at 123-456-7890. Alternatively, deliver a physical copy to the nearest CMHIS office at 123 Health Street, Kohima, Nagaland. It is advisable to keep a copy of the submitted form for your records.
What are the important dates for this form in 2024 and 2025?
For the year 2024, submit your form by June 30 to avoid delays in benefits. The same deadline applies for 2025. Stay informed on changes to guidelines that may affect your submission dates.

What is the purpose of this form?
The purpose of the Marriage Declaration Form is to serve as a legal affirmation of the marital status of beneficiaries under CMHIS who do not possess a valid marriage certificate. This form is crucial for ensuring that couples receive the benefits designated for married individuals under the scheme. Accurately filling out this form allows couples to comply with the regulations governing marital benefits in Nagaland.

Tell me about this form and its components and fields line-by-line.

- 1. Husband's Full Name: The full name of the husband as per his Aadhaar.
- 2. Wife's Full Name: The full name of the wife as per her Aadhaar.
- 3. Address: The current residential address of the couple.
- 4. Date of Marriage: The date when the couple started living together.
- 5. Photographs: Recent passport-sized color photographs of both partners.
- 6. Signature: Signatures of both husband and wife are required.
- 7. Counter Signature: Counter signature by the local administrative officer.
What happens if I fail to submit this form?
Failure to submit the Marriage Declaration Form can result in a loss of eligibility for the benefits provided under CMHIS. It is crucial to meet submission deadlines to avoid disruption in accessing health benefits.
- Loss of Benefits: Without submission, couples may be ineligible for healthcare benefits.
- Legal Implications: Filing inaccurately can lead to legal issues.
- Delay in Processing: Not submitting on time may delay benefit allocation.
How do I know when to use this form?

- 1. Cohabiting Couples: Couples who have lived together but lack formal documentation.
- 2. New CMHIS Applicants: New applicants who need to declare their marital status.
- 3. Residents without Certificates: Residents of Nagaland without church or court marriage certificates.
Frequently Asked Questions
How do I fill out the Marriage Declaration Form?
Start with your details, ensuring all requested information is accurately entered. Follow the instructions to attach necessary documents.
Can I edit the Marriage Declaration Form after downloading?
Yes, you can edit the form using our PDF editor before finalizing your submission.
What if I don't have a marriage certificate?
This form is specifically designed for those who do not possess a marriage certificate.
Is there a cost to edit or download the PDF?
Editing and downloading the PDF are free services provided through PrintFriendly.
Can I share the edited form directly?
Absolutely! Use the share options to send your PDF via email or social media.
How do I sign the PDF?
You can add your signature directly in the PDF editor provided on PrintFriendly.
What documents do I need to attach?
You need to include recent passport photographs as required by the form.
Is there any help available if I get stuck?
Our customer support is available to assist you with any questions during the process.
Do I need to notarize the declaration?
No notarization is required for the Marriage Declaration Form, but it must be signed by both parties.
When should I submit the form?
Submit the form as soon as it is completed to ensure timely processing of your benefits.