Form 90, 1993, Application For Marriage License
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1Municipal Form No. 90 (Form No. 2)
Registry No. _______________
(Revised January 1993)
Date of Receipt ____________
Date of Issuance of
Marriage License _____
APPLICATION FOR MARRIAGE LICENSE
The Civil Registrar
The Civil Registrar
City/Municipality of __________________________
City/Municipality of __________________________
Province of ________________________________
Province of ________________________________
Sir/Madam:
Sir/Madam:
May I apply for a license to contract marriage with
May I apply for a license to contract marriage with
____________________________________
and
to
this
____________________________________
and
to
this
effect, being duly sworn, I hereby depose and say that I have
effect, being duly sworn, I hereby depose and say that I have
all the necessary qualifications and none of the legal
all the necessary qualifications and none of the legal
disqualifications to contract the said marriage, and that the
disqualifications to contract the said marriage, and that the
following data are true and correct to the best of my
following data are true and correct to the best of my
knowledge and information:
knowledge and information:
(First)
(Middle)
(Last)
(First)
(Middle)
(Last)
Name of Applicant
(Day)
(Month)
(Year)
(Age)
(Day)
(Month)
(Year)
(Age)
Date of Birth/Age
(City/Municipality)
(Province)
(City/Municipality)
(Province)
Place of Birth
Sex
(Male or Female)
Citizenship
Residence
Religion
Civil Status
IF PREVIOUSLY
MARRIED:
How was it dissolved
(City/Municipality)
(Province)
(City/Municipality)
(Province)
Place where dissolved
(Day)
(Month)
(Year)
(Day)
(Month)
(Year)
Date when dissolved
Degree of Relationship
of contracting parties
(First)
(Middle)
(Last)
(First)
(Middle)
(Last)
Name of Father
Citizenship
Residence
(First)
(Middle)
(Last)
(First)
(Middle)
(Last)
Name of Mother
Citizenship
Residence
(First)
(Middle)
(Last)
(First)
(Middle)
(Last)
Persons who gave
consent or
advice
Relationship
Citizenship
Residence
_______________________________________
_______________________________________
(Signature of applicant)
(Signature of applicant)
Exempt from
SUBSCRIBED AND SWORN to before me this
SUBSCRIBED AND SWORN to before me this
_____________ day of __________, _______________ at
_____________ day of __________, _______________ at
documentary
______________________________________________
__________________________________________________
stamp tax
_________________________________, Philippines.
_________________________________, Philippines.
_______________________________________________
_______________________________________________
(Signature over printed name of the Civil Registrar)
(Signature over printed name of the Civil Registrar)
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