(Pursuant to Section 19 of the Marriage Ordinance (Cap 127))
Number/Year of Issue:
This is to Certify that:
A marriage was performed between the following persons:
Surname
Mr.
__________________
Bride
Nationality
__________________
First Names
__________________
__________________
Surname
Mrs./Ms.
__________________
Groom
Nationality
__________________
First Names
__________________
__________________
Date of Marriage
__________________
Date of Issue
__________________
Place of Marriage
_____________________
Place of Issue
_____________________
Minister
Pastor/Registrar/Priest/Sheikh
(Full Name)
_____________________
(Signature)
_____________________
Stamp/Seal
Signature
_____________________