Postal Notification Of Intention To Marry Page 4

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Marriage Details
Proposed Place and Form of Marriage
Type of Ceremony:
Religious
Civil
If religious, please state the religious denomination or form of the
proposed marriage ceremony:
______________________________________________________________________________
Please state the exact place and/or building in which the proposed
marriage will be solemnised:
______________________________________________________________________________
Please state the name of the person solemnising the marriage:
______________________________________________________________________________
Date of intended marriage (provisional only):
______________________________________________________________________________
Will the services of an interpreter be required (if yes, give details):
______________________________________________________________________________
Witness Details
Witness 1
Witness 2
Forename:
Forename:
____________________________________
____________________________________
Surname:
Surname:
____________________________________
____________________________________
Date of Birth:
Date of Birth:
____________________________________
____________________________________
Signature of both parties (to the proposed marriage):
1. ________________________________
2. _________________________________
FOR OFFICIAL USE ONLY
Received by Registrar:
______________________________________
Date:
______________________________________

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