Marriage Affidavit

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Marriage Affidavit
I,
_____
, born on
,
(Name of declarer)
(Date of birth)
residing at
_____
,
(Address of declarer)
make oath and say as follows:
(1)
A marriage is proposed to be solemnized between me and
_____
,
(Name of fiancé(e))
national of
___
,
(Country of origin of fiancé(e))
residing at
____
.
(Address of fiancé(e))
(2)
I am free to marry, being single/divorced. (select as appropriate)
(3)
I believe that there is not any impediment by reasons of kindred or alliance,
or other lawful hindrance to the above marriage.
(4)
I am
__
_
years old.
(Age of declarer)
I swear on my conscience that the statements made by me in this affidavit are true.
_____________________________________
Signature of Declarer
(must be signed in front of the designated officer)
Sworn before me at the
_________________________ of Canada in ___________, Japan
Embassy/Consulate/Honorary Consulate
(city)
this ______day of ___________ , 20___.
___________________________

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