婚姻証明書（Marriagecontract）の書式

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Municipal form No. 97 (Form No. 13)　　　　　　　　　　　　　(To be accomplished in quadruplicate)
(Revised January 1993)

Republic of the philippines
OFFICE OF THE CIVIL REGISTRAR GENERAL
CERTIFICATE OF MARRIAGE

REMARKS/ANNOTATION

Province
City/Municipality

Registry No.

Name of Contracting
Parties

(HUSBAND) (WIFE)

FOR OCRG USE ONLY
Population Reference No.

(Husband)

(wife)

(first) (Middle initial) (Last)

.

Date of Birth/Age

(day) (month) (year) (age)
.

Place of Birth

Sex (Male or Female)

Citizenship

TO BE FILLED UP AT THE
OFFICE OF THE CIVIL REGISTRAR

80

Residence

Religion

Civil Status

Name of Father

(first) (Middle initial) (Last)

.

Citizenship

Name of Mother

(first) (Middle initial) (Last)

.

Citizenship

RECEIVED AT THE OFFICE
OF THE CIVIL REGISTRAR

____________________________
Signature
____________________________
Name in Print
____________________________
Title or Position
____________________________
Date Received

Persons who gave
consent or advice

(first) (Middle initial) (Last)

.

Relationship

Residence

Place of Marriage		________________________________________________________________ (Office of the/House of/Barangay of/Church of/Mosque of)
		________________________________________________________________ address
Date:		________________________________ Time____________________________ (day) (month) (year)
.		.
THIS IS TO CERTIFY: That I _________________________________________________ and I, _________________________________________ both of legal age, of our own free will and accord, and in the presence of the person solemnizing this marriage and of the witnesses named below, take each other as husband and wife and certifying further that we:
.
□	*have not entered into a marriage settlement.*
□	*have entered into a marriage settlement, a copy of which is hereto attached.*
.
IN WITNESS WHEREOF, we signed/marked with our finger print, this certificate in quadruplicate this __________________________________________
__________________________________________________ ______________________________________________ (Signature of Husband) (Signature of Wife)
.
THIS IS TO CERTIFY: THAT BEFORE ME, on the date and place above-written, personally appeared the above-mentioned parties, with their mutual consent, lawfully joined together in marriage which was solemnized by me in the presence of the witnesses named below, all of legal age.
.
I CERTIFY FURTHER THAT:
.
□	Marriage License No. ___________________ issued on ______________________________ , at _________________________________ in favor of said parties, was exhibited to me.
□	no marriage License was neccessary, the marriage being solemnized under Art. __________ of Executive Order No. 209.
□	the marriage was solemnized in accordance with the provisions of Presidential Decree No. 1083
__________________________________________________________ (Signature of Solemnizing Officer)
_______________________________ (Position/Designation)
______________________________________________________ (Religious Affiliation, Registry No. and Expiration Date, if applicable)
.
WITNESSES (Print Name and Sign)
_________________________________________ __________________________________ _________________________________________ __________________________________

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婚姻証明書（Marriagecontract）の書式

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