Marriage Licence Application

Step 2 of 3

Mandatory fields are indicated with a red asterisk (*)

General information

Intended place of marriage *		Intended date of marriage *
City, town, village *		County or district *

Applicant
1. Last name *
2. First and middle names *
3. Marital status
4. Court file number (If divorced in Canada)
5. City divorce granted in (If divorced in Canada)
6. Religious denomination *
7. Date of birth *
8. Place of birth Province (If outside Canada, state the country) *
9. Father's last name *
10. Father's first name(s) *
11. Father's place of birth Province (If outside Canada, state the country) *
12. Mother's last name (Last name before marriage) *
13. Mother's first name(s) *
14. Mother's place of birth Province (If outside Canada, state the country) *

15. Address

Street number and name*

Apartment

City or town*

Province / State

Postal / zip code*

Telephone number*

16. Address

Street number and name

Apartment

City or town

Province / State

Postal / zip code

Telephone number

Joint applicant
1. Last name *
2. First and middle names *
3. Marital status
4. Court file number (If divorced in Canada)
5. City divorce granted in (If divorced in Canada)
6. Religious denomination *
7. Date of birth *
8. Place of birth Province (If outside Canada, state the country) *
9. Father's last name *
10. Father's first name(s) *
11. Father's place of birth Province (If outside Canada, state the country) *
12. Mother's last name (Last name before marriage) *
13. Mother's first name(s) *
14. Mother's place of birth Province (If outside Canada, state the country) *

15. Address

Street number and name*

Apartment

City or town*

Province / State

Postal / zip code*

Telephone number*

16. Address

Street number and name

Apartment

City or town

Province / State

Postal / zip code

Telephone number