Form Bi-130 - Application For Marriage/customary Certificate - Department Of Home Affairs

G.P.-S. 017-0172

BI-130

REPUBLIC OF SOUTH AFRICA

DEPARTMENT: HOME AFFAIRS

DEPARTMENT OF HOME AFFAIRS

REPUBLIC OF SOUTH AFRICA

APPLICATION FOR MARRIAGE / CUSTOMARY CERTIFICATE

APPLICATION FOR MARRIAGE CERTIFICATE

(Complete in block letters please)

(Complete in block letters please)

Indicate in the appropriate square whether an abridged or an unabridged full certificate is required.

NB:

(1) An abridged certificate generally answers to the purpose for which a marriage certificate is

required in the Republic of South Africa. An unabridged certificate is mainly issued for overseas

purposes.

(2) A vault copy is a certified copy of the original register.

If an unabridged certificate is required, state fully the purpose for which it is required:

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Abridged certificate

Unabridged certificate

Vault copy

Full names and surname of husband ...................................................................................................................

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Identity number of husband

Date of birth of husband .......................................................................................................................................

Full names and maiden name of wife ...................................................................................................................

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Identity number of wife

Date of birth of wife ...............................................................................................................................................

Date of marriage/customary marriage ..................................................................................................................

Name of church or magistrate’s office ..................................................................................................................

Place where marriage took place .........................................................................................................................

Place where customary marriage was registered.................................................................................................

Name of marriage officer (if married in church) ....................................................................................................

Name of applicant .................................................................................................................................................

Address of applicant .............................................................................................................................................

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Postal code.........................................

Tel. No.: Work .......................................................................................

Home ......................................................................................

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Signature

Date.........................................................................