Fillable Printable Application To Use Marriage Affidavit
Fillable Printable Application To Use Marriage Affidavit
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Application To Use Marriage Affidavit
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APPLICATION TO USE MARRIAGE AFFIDAVIT
APPLICANT NAME:
APPLICANT DATE OF BIRTH:
REASON FOR SUBMITTING A MARRIAGE AFFIDAVIT:
OTHER INFORMATION IN SUPPORT OF APPLICATION TO USE A MARRIAGE AFFIDAVIT
Please note that not being in possession of a marriage certificate is not acceptable grounds for use of
this affidavit. If you are not submitting a copy of your marriage certificate with your application, you
will be required to provide evidence that you were unable to obtain a copy of it from the relevant
authorities.
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Marriage Affidavit
I _______________________ of _______________________________________
(Full name of applicant) (Current address in full)
was born on the ____ day of __________ 19___ at __________________________
(Name of town/district)
In the country of _________________
(Country of Birth)
I further say that my Father is __________________________________________
(Full name of Father)
Born on the _____ day of _____________ 19____ at ________________________
(Name of town/district)
In the country of _________________
(Country of Birth)
And that my Mother is _________________________________________________
(Mother’s full maiden name)
Born on the _____ day of _____________ 19____ at ________________________
(Name of town/district)
In the country of _________________
(Country of Birth)
HEREBY AFFIRM, DECLARE AND SWEAR THAT I MARRIED
________________________ who was born on the ____ day of ___________19___
(Spouses (maiden) name in full)
at_____________________ in the country of _________________
(Name of town/district) (Country of Birth)
on the ____ day of ___________ 19___ at _________________ in _______________
(Date of Marriage) (Name of town/district) (Name of Country)
I further say that my spouse’s Father is _____________________________________
(Full name of spouse’s Father)
Born on the _____ day of _____________ 19____ at ________________________
(Name of town/district)
In the country of _________________
(Country of Birth)
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And that my spouse’s Mother is __________________________________________
(Mother of spouse’s full maiden name)
Born on the _____ day of _____________ 19____ at ________________________
(Name of town/district)
In the country of _________________
(Country of Birth)
I further say that at the time of my marriage I was _________________________
(civil marital status immediately prior to marriage
e.g. single, divorced, widow(er) etc)
and that my spouse was a _________________________
(civil marital status immediately prior to marriage e.g. single, divorced etc)
I HEREBY AFFIRM, DECLARE AND SWEAR THAT I BELIEVE THE ABOVE DETAILS TO BE
TRUE
Signature of applicant:____________________
Signature of Solicitor/Commissioner for Oaths:______________________
Date:_______________