Application for Certificate of
No Impediment to Marriage (CNI)
APPLICANT TO COMPLETE
I,
of (address)
apply for a Certificate of No Impediment in respect of my proposed marriage
in (name of overseas country)
Document Service Requ
to (name of partner)
This form can be completed electronical
This form can be completed electronically on screen, printed and then signed in front of an eligible witness before submitting
and print w
with the Document Legalisation Request Form. If you choose to print and fill out this form by hand
and print within the boxes in
B L O C K
L E T T E R S
1. YOUR DETAILS
In support I provide the following particulars:
Family name/Company
APPLICANT
Given names
1. Surname
Contact email address
2. Christian or given names
Contact telephone
3. Gender
4. Country of Citizenship
Female
Male
Postal address
5. Australian Residency status (i.e. Permanent Resident or Non-Resident)
Unit or house number and street or rura
6. Usual occupation
City
7. Usual place of address (in full)
Suburb
State/Territory
Post/zip code
Country
State/Territory
8. Have you been married before?
International contact details – if appl
If yes, please provide details of how that marriage was terminated
YES
NO
Country
9. Place of birth Indicate town/city and State/Territory (and country if born outside Australia)
2. TYPE OF DOCUMENTS
10. Date of birth
e.g. Birth certificate
If under 18, which Australian court provided judicial authorisation
11. Are you and the other party related?
3. NAME ON DOCUMENTS (IF DI
If yes, please provide details of relationship
YES
NO
Family name/Company
Continue on page 2
Given names