Notice Of Intended Marriage Page 3
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4FOR
Commonwealth of Australia
FOR OFFICIAL
CELEBRANT’S USE
USE ONLY
Marriage Act 1961
Marriage arranged:
NOTICE OF INTENDED
Registered No.
for
am/pm
...........................................
MARRIAGE
(time)
on
.............................................................
To
: ................................................................................................
(day of week)
...................................................................
.......................................................................................................
(date)
at
.............................................................
.
.......................................................................................................
[insert name and address of proposed celebrant]
..................................................................
.
The following parties give notice of their intended marriage:
PARTY 1
PARTY 2
1
Description of party
Groom
Bride
Partner
Groom
Bride
Partner
2
Surname
3
Given names
4
S ex
Male
Female
X
Male
Female
X
(‘X’ refers to indeterminate/intersex/unspecified)
5
Usual occupation
6
Usual place of residence
(full address)
7
Conjugal status
(for example, never validly
married, widowed, divorced)
8
Birthplace—
(if born in Australia—
insert city or town, and State or Territory; if
born outside Australia—insert city or town and
country)
9
Date of birth
Day
Month
Year
Day
Month
Year
10 If party born outside Australia,
total period of residence in Australia
Years
Months
Years
Months
11 Father’s name in full
(If not known, write
“unknown”. If deceased, add “deceased”)
12 Mother’s maiden name in full
(If not known, write “unknown”.
If deceased, add “deceased”)
13 Father’s country of birth
(If not known, write “unknown”)
14 Mother’s country of birth
(If not known, write “unknown”)
If a party has been previously married, that party must give the following particulars:
15
Number of previous marriages
16
Y ear of each previous marriage ceremony
(If known, give date)
17
Number of children of the pre vious
marriage or marriages born alive
(whether now living or deceased)
18
Year of birth of each of those children
19
Ho w LAST marriage terminated
(Insert “death”, “divorce” or “nullity”)
20
Date on which last spouse died, or date on
which dissolution of last marriage became
final, or nullity order made
Day
Month
Year
Day
Month
Year
NOTICE OF INTENDED MARRIAGE
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