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MARRIAGE - LICENSE - Application Form

1) This is an application for a marriage license that must be filled out in quadruplicate by both the groom and bride. 2) It requests information such as name, date and place of birth, residence, religion, civil status, details of any prior marriages, names and details of parents/guardians consenting to the marriage. 3) The applicants must sign and swear to the civil registrar that the information provided is true and correct.

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80% found this document useful (5 votes)
11K views1 page

MARRIAGE - LICENSE - Application Form

1) This is an application for a marriage license that must be filled out in quadruplicate by both the groom and bride. 2) It requests information such as name, date and place of birth, residence, religion, civil status, details of any prior marriages, names and details of parents/guardians consenting to the marriage. 3) The applicants must sign and swear to the civil registrar that the information provided is true and correct.

Uploaded by

richlog
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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Municipal Form 90 (Form No.

2) (To be accomplished in quadruplicate using black ink)


(Revised January 2007) Republic of the Philippines
OFFICE OF THE CIVIL REGISTRAR GENERAL

APPLICATION FOR MARRIAGE LICENSE


Registry No.
Province_____________________________________________
City/Municipality_______________________________________
Received by:______________________________________ Marriage License No.:_______________________________
Date of Receipt:____________________________________ Date of Issuance of Marriage License:__________________
GROOM BRIDE
The Civil Registrar The Civil Registrar
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 effect, being _______________________________ and to this effect, being
duly sworn, I hereby depose and say that I have all the duly sworn, I hereby depose and say that I have all the
necessary qualifications and none of the legal disqualifications necessary qualifications and none of the legal disqualifications
to contract the said marriage, and that the following data are to contract the said marriage, and that the following data are
true and correct to the best of my knowledge and information: true and correct to the best of my knowledge and information:

(First)___________________________________ (First)___________________________________
1. Name of
(Middle)_________________________________ Applicant (Middle)_________________________________
(Last)___________________________________ (Last)___________________________________
(Day) (Month) (Year) (Age) (Day) (Month) (Year) (Age)
2. Date of Birth/
Age

(City/Municipality) (Province) (Country) 3. Place of (City/Municipality) (Province) (Country)


Birth

(Male/Female) (Citizenship) (Male/Female) (Citizenship)


4. Sex/Citizenship

(House No., St., Barangay, Province, Country) (House No., St., Barangay, Province, Country)
5. Residence

6.
Religion/Religious
Sect

7. Civil Status

8. IF PREVIOUSLY
MARRIED: How was
it dissolved?

(City/Municipality) (Province) (Country) 9. Place where (City/Municipality) (Province) (Country)


dissolved

(Day) (Month) (Year) 10. Date when (Day) (Month) (Year)


dissolved
11. Degee of
relationship of
contracting parties

(First) (Middle) (Last) 12. Name of (First) (Middle) (Last)


Father

13. Citizenship
(House No., St., Barangay, Province, Country) (House No., St., Barangay, Province, Country)
14. Residence

(First) (Middle) (Last) 15. Maiden name (First) (Middle) (Last)


of Mother

16. Citizenship
(House No., St., Barangay, Province, Country) (House No., St., Barangay, Province, Country)
17. Residence

18. Persons who


gave consent or
advice
19. Relationship

20. Citizenship
(House No., St., Barangay, Province, Country) (House No., St., Barangay, Province, Country)
21. Residence

_____________________ _____________________
(Signature of Applicant) (Signature of Applicant)

SUBSCIBED AND SWORN to before me this SUBSCIBED AND SWORN to before me this
______________day of _______________,________, at Exempt from ______________day of _______________,________, at
_________________________, Philippines, affiant who exhibited documentary _________________________, Philippines, affiant who exhibited
to me his Community Tax Cert.____________ issued on to me his Community Tax Cert.____________ issued on
_______________________,_____________ at stamp tax _______________________,_____________ at
_________________________________ _________________________________
__________________________ __________________________
(Signature Over Printed Name of the Civil Registrar) (Signature Over Printed Name of the Civil Registrar)

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