APPLICANT’S DETAILS (details of person completing this form). Please provide at least three (3) copies of identification with your application. Family Name Given Names Street Address Suburb State Postcode from street address) Suburb State Postcode Signature of Applicant DETAILS OF MARRIAGE REQUIRED Groom Given Names (Before Marriage) Given Names Date of Marriage* / / To (Town/City) State PAYMENT DETAILS (complete this section for mail or fax applications only). For schedule of fees, see Fees for Product and Services flyer. Money Order for $ • Debit my: MasterCard Visa $ • Card Number Name of Cardholder Expiry Date / Identification Date Issued OFFICE USE ONLY Please PRINT clearly in BLACK pen. Start at the left. Write one letter in each box. Leave one box between words. Please complete all details. Signature of Cardholder Enclosed is a Cheque*/ OR Please AMEX (Cheques should be made payable to the ‘NSW Registry of Births Deaths & Marriages’) Place of Marriage Postal Address (if different Commemorative Certificate Package (Includes a standard certificate. Specify design e.g Diamond Rings: 2) Urgent Non-urgent Cut the Cake (Qty) _____ Diamond Rings (Qty) _____ Holding hands: (Qty) _____ Marriage Rings (Qty) _____ Rose (Qty) _____ Waratah (Qty) _____ Standard Certificate (Qty) ___________ Urgent Non-urgent International Express Post Application for a Marriage Certificate Family Name of Family Name of Bride (Note, each extra 10 year search or part thereof incurs a cost) *Personal/company cheques are not accepted for urgent applications. Your Relationship to the Person Registered (e.g. self) Reason Certificate is Required (e.g. passport) * If Date Unknown, Period to be Searched – From Contact Phone Number ( ) Daytime Phone Number ( ) NSW Registry of Births Deaths & Marriages ABN 30 854 211 521 GPO Box 30 Sydney NSW 2001 Tel: 1300 655 236 Your certificate will be mailed to you if your application was received by post or fax and is charged a postage and handling fee. See separate “Fees for Products and Services” Flyer.
Transcript
APPLICANT’S DETAILS (details of person completing this form). Please provide at least three (3) copies of identification with your application.
Family Name
Given Names
Street Address
Suburb State Postcode
from street address)
Suburb State Postcode
Signature of Applicant
DETAILS OF MARRIAGE REQUIRED
Groom
Given Names
(Before Marriage)
Given Names
Date of Marriage* / / To
(Town/City)
State
PAYMENT DETAILS ((ccoommpplleettee tthhiiss sseeccttiioonn ffoorr mmaaiill oorr ffaaxx aapppplliiccaattiioonnss oonnllyy)). For schedule of fees, see Fees for Product and Services flyer.
Money Order for $ • Debit my: MasterCard Visa $ •
Card Number
Name of Cardholder Expiry Date /
Identification Date IssuedOFFICE USE ONLY
Please PRINT clearly in BLACK pen. Start at the left. Write one letter in each box. Leave one box between words. Please complete all details.
Signature ofCardholder
Enclosed is a Cheque*/ OR Please AMEX (Cheques should be made payable to the ‘NSW Registryof Births Deaths & Marriages’)
Place of Marriage
Postal Address (if different
Commemorative Certificate Package (Includes a standard certificate. Specify design e.g Diamond Rings: 2) Urgent Non-urgent Cut the Cake (Qty) _____ Diamond Rings (Qty) _____ Holding hands: (Qty) _____
Marriage Rings (Qty) _____ Rose (Qty) _____ Waratah (Qty) _____
Standard Certificate (Qty) ___________ Urgent Non-urgent International Express Post
Application for a Marriage Certificate
Family Name of
Family Name of Bride
(Note, each extra 10 year search or part thereof incurs a cost)
*Personal/company cheques are not accepted for urgent applications.
Your Relationship to the PersonRegistered (e.g. self)
Reason Certificate is Required(e.g. passport)
* If Date Unknown, Periodto be Searched – From
Contact Phone Number ( )
Daytime Phone Number ( )
NSW Registry of Births Deaths & Marriages ABN 30 854 211 521 GPO Box 30 Sydney NSW 2001 Tel: 1300 655 236
Your certificate will be mailed to you if your application was received by post or fax and is charged a postage and handling fee. See separate “Fees for Products and Services” Flyer.
Com
mem
orative certificates come in a
framing size of 210m
m x 297m
m (A
4). They are beautifully presented, w
rapped in tissue paper and packed in a protective cylinder.
You can order your certificate by fax on (02) 9035 6111, by post at G
PO Box 30, Sydney
NSW
2001 or in person at a Registry office:
• 35 Regent Street, Chippendale N
SW 2008
• 95 Tudor Street, Ham
ilton NSW
2303• 2/74 Kem
bla Street, Wollongong N
SW 2500
• 160 Marsden Street, Parram
atta NSW
2150
Office hours are M
onday to Friday – 8.00am to 4.30pm
Tel: 1300 655 236 TTY: 9354 1371
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Cut the C
akeD
iamond Rings
Holding H
ands
Waratah
RoseM
arriage Rings
Standard
Application for a
Marriage C
ertificate
Certificate entitlement
This application can only be used if the marriage occurred in N
SW.
If you are the bride or groom, your m
arriage certificate can beissued to you. If you are a child of the bride or groom
, the certificatecan be issued to you if the bride and groom
are deceased. If youare not a child of the bride or groom
, but need to establish yourlegal right or entitlem
ent, e.g. under a Will, your application w
ill be considered.
If you DO
meet the above criteria, you m
ust provide the following:
1. Three (3) copies of your own identification (see below
).
If you DO
NO
T meet the above criteria, you m
ust provide the follow
ing:
1. A letter giving perm
ission from the person nam
ed on thecertificate or if deceased, their next of kin. Please include theiraddress, daytim
e telephone number and signature.
2. Three (3) copies of identification from the person giving
permission or their next of kin (see below
).3. Three (3) copies of your ow
n identification (see below).
IdentificationTo protect your privacy, the Registry requires proof of your identity.
Please provide at least three (3) forms of identification, one of each
from C
ategories 1, 2 and 3. If you are unable to provide identificationfrom
Categories 1 and 2, you m
ust still provide at least three (3) forms
of identification. At least tw
o (2) of these must be from
Category 3.
All docum
ents, except foreign passports, must be current.
Photocopies are accepted.
Comm
emorative certificates
Capture the excitem
ent and joy of a new m
arriage or celebrate a marriage
from m
any years ago with a special C
omm
emorative M
arriage Certificate.
With each order for a C
omm
emorative M
arriage Certificate you w
ill receive a Standard M
arriage Certificate that you can use for official purposes.
Multiple C
omm
emoratives can be purchased w
ith each package. Seeseparate ‘Fees for Products and Services’ flyer.
