Email Address (
Required
)
Fax (
Required
) :
Groom
Name :
Nationality :
Place & Date of Birth :
Religion :
Occupation :
Local Address (in Bali) :
Permanent Address :
Have / have not been married before :
Name of ex-wife :
Children from previous marriage :
Bride
Name :
Nationality :
Place & Date of Birth :
Religion :
Occupation :
Local Address (in Bali) :
Permanent Address :
Have / have not been married before :
Name of ex-husband :
Children from previous marriage :
First Witness
Name :
Age :
Religion :
Occupation :
Permanent Address :
Father of Groom
Name :
Age :
Religion :
Occupation :
Permanent Address :
Mother
of Groom
Name :
Age :
Religion :
Occupation :
Permanent Address :
Father of Bride
Name :
Age :
Religion :
Occupation :
Permanent Address :
Mother of Bride
Name :
Age :
Religion :
Occupation :
Permanent Address :
Second Witness
Name :
Age :
Religion :
Occupation :
Permanent Address :
PREFERRED PLACE & DATE
OF WEDDING CEREMONY :
Required Documents
Copy of Details Page Of Passport (HIS / HERS / WITNESSES)
Copy of Birth Certificate (HIS / HERS)
Copy of Divorce / Death Certificate (if applicable) - (HIS / HERS)
Copy of Baptism Certificate (HIS / HERS)
Photographs of couple together (4 X 6 cm) 5 pieces
Note :
Additional items are required for Catholic couples, and this information will be given upon
request.
Family such as mothers, fathers, brothers or sisters may not act as witnesses and a copy of
details page of witnesses passport is also required to be submitted.
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