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Culture Documents
Name _____________________________________________________________________________
Name of other party _________________________________________________________________
Date of Marriage ____________________________________________________________________
Place of Marriage ___________________________________________________________________
2. To the best of your knowledge has he/she ever been married before civilly or religiously)? ___ (yes/no)
If yes, please give details
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
3. Do you know of any reason which could prevent this marriage taking place? __________ (yes/no)
If yes, please explain:
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Name and address of person making statement:
_________________________________________________________________________
_________________________________________________________________________
Tel./Mobile No. ____________________________________________________________
Signature _________________________________________________________________