CERTIFICATE OF MARRIAGE VILLAGE NAME: CERTIFICATE NO.: VILLAGE CODE: I----------------------------------------------HGB/GB,village ------------------ HEREBY CERTIFY THAT ---------------------------D/O---------------------R/O----------------------------------------------- AND ---------------------------------------------S/O-------------------R/O ------------------------------------APPEARED BEFORE ME THIS --------------DAY OF-----------------20---- AND EACH OF THEM, IN MY PRESENCE AND IN THE PRESENCE OF THREE WITNESSES WHO HAVE SIGNED HEREUNDER, HAVE DECLARED THAT A CEREMONY OF MARRIAGE HAS BEEN PERFORMED BETWEEN THEM AND THEY HAVE BEEN LIVING TOGETHER AS HUSBAND AND WIFE SINCE THE TIME OF THEIR MARRIAGE, AND THAT IN ACCORDANCE WITH THEIR DESIRE FOR CERTIFICATION, THE SAID MARRIAGE HAS THIS ------------DAY OF ------20---- BEEN CERTIFIED. _________________ _____________________ _______________________ SIGNATURE SIGNATURE SIGNATURE ( ) ( ) ( ) NAME OF HGB/GB NAME OF WIFE NAME OF HUSBAND ____________________ _____________________ ________________________ SIGNATURE SIGNATURE SIGNATURE ( ) ( ) ( ) NAME OF 1ST WITNESS NAME OF 2ND WITNESS NAME OF 3RD WITNESS COUNTERSIGNED WITH SEAL BY (CO/EAC/SDO---------------)
