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
_______________________________
KRISTELA SANTOS and to this effect, being _______________________________
EUNCHONG CHO 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)___________________________________
EUNCHONG (First)___________________________________
KRISTELA
1. Name of
(Middle)_________________________________
N/A Applicant (Middle)_________________________________
AREVALO
(Last)___________________________________
CHO (Last)___________________________________
SANTOS
(Day) (Month) (Year) (Age) (Day) (Month) (Year) (Age)
2. Date of Birth/
20 APR 1992 31 Age 02 JAN 2003 21

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

INCHEON INCHEON SOUTH KOREA Birth CALABANGA CAMARINES SUR PHILIPPINES

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

4. Sex/Citizenship
MALE KOREAN FEMALE FILIPINO
(House No., St., Barangay, Province, Country) (House No., St., Barangay, Province, Country)
EPIFANIO DE LOS SANTOS AVE. 5. Residence EPIFANIO DE LOS SANTOS AVE.
PASAY CITY, METRO MANILA, PHILIPPINES PASAY CITY, METRO MANILA, PHILIPPINES
6.
Religion/Religious
PRESBYTERIAN Sect IGLESIA NI CRISTO
7. Civil Status
SINGLE SINGLE
8. IF PREVIOUSLY
MARRIED: How was
N/A it dissolved? N/A
(City/Municipality) (Province) (Country) 9. Place where (City/Municipality) (Province) (Country)
N/A N/A N/A dissolved N/A N/A N/A
(Day) (Month) (Year) 10. Date when (Day) (Month) (Year)
N/A N/A N/A dissolved N/A N/A N/A
11. Degee of
relationship of
NOT RELATED NOT RELATED
contracting parties

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

KANGHARM N/A CHO Father CHRISTIAN BELLECA SANTOS

KOREAN 13. Citizenship FILIPINO

(House No., St., Barangay, Province, Country) (House No., St., Barangay, Province, Country)
218 CANTON ST., SAN ISIDRO 14. Residence EPIFANIO DE LOS SANTOS AVE.
CAINTA RIZAL, PHILIPPINES PASAY CITY, METRO MANILA, PHILIPPINES
(First) (Middle) (Last) 15. Maiden name (First) (Middle) (Last)
SUYOUN N/A IM of Mother CARMELA ASA AREVALO

KOREAN 16. Citizenship FILIPINO

(House No., St., Barangay, Province, Country) (House No., St., Barangay, Province, Country)
218 CANTON ST., SAN ISIDRO 17. Residence EPIFANIO DE LOS SANTOS AVE.
CAINTA RIZAL, PHILIPPINES PASAY CITY, METRO MANILA, PHILIPPINES
18. Persons who
gave consent or
advice CARMELA SANTOS
19. Relationship MOTHER
20. Citizenship FILIPINO
(House No., St., Barangay, Province, Country) (House No., St., Barangay, Province, Country)
21. Residence EPIFANIO DE LOS SANTOS AVE.
PASAY CITY, METRO MANILA, PHILIPPINES

_____________________ _____________________
(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)