Beth Din Marriage Application

Beth Din Marriage Application
Marriage Details
A. What is the Groom's name?*

First NameMiddle NameLast Name
B. What is the Bride's name?*

First NameMiddle NameLast Name
C. What is the date and time of your wedding?

MonthDayYear
Hour MinutesAM/PM Option
D. Where is your Chuppah Ceremony located?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. Who is the Rabbi officiating the wedding? (Please provide phone number including country code, email).

Groom Personal Details
A. Has a family member of the Groom been approved by The Sydney Beth Din or The Institute of Jewish Status?*
If you clicked YES above, please write their name and year of approval.
B. What is your mobile phone number?*
Format: (000) 000-0000.
C. Please enter your email address:*
example@example.com
D. What is your current address?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. What is your occupation?
F. What is your date of birth?

MonthDayYear
G. What is your place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
H. Were you born Jewish? If not, please provide conversion details
I. What is your Hebrew name?

Groom Maternal Family Information
A. What is your Mother's name?
B. What is your Mother's maiden name?
C. What is your Mother's Hebrew name?
D. What is your Mother's place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. Is your Mother the daughter of a:

KohenLeviYisroel
Groom Paternal Family Information
A. What is your Father's name?
B. What is your Father's Hebrew name?
C. What is your Father's place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
D. Is your Father the son of a:

KohenLeviYisroel

Groom Family Information
A. What is your parents' marriage date?

DayMonthYear
B. Where were your parents married?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
C. Name of Synagogue where your parents were married:
D. Were your parents born Jewish? If not, please state place & date of Conversion.
E. Were you born from both of your parents’ first marriage?

YesNo
F. Are you the natural child of your parents?

Natural ChildAdoptedAssisted reproductive tech
G. Please provide the number of brothers, sisters, and their respective ages.
H. Are the Bride and Groom related? If yes, please state relation.

Groom Current Marital Status
A. What is your current marital status?

Never marriedMarriedDivorcedWidow
B. If the previous answer was Married/Divorced/Widow, please provide the following information (otherwise leave blank):

DayMonthYear
C. Officiating Rabbi:
D. Name of Synagogue:
E. Location of marriage:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
F. If the marriage has been dissolved, please provide details:
G. Name of previous spouse:

First NameLast Name
H. Were there children from this marriage?

YesNo
I. Age of children:
J. Name of family purity teacher:

First NameLast Name
K. Have you started family purity classes?

YesNo

Groom Documentation
A. Please upload your Birth Certificate.

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B. Please upload your Mother's Birth Certificate.

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C. Please upload your parents' Ketuba.

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D. Please upload your parents' Marriage Certificate.

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E. In case of 2nd+ marriage, please upload a GETT or Death Certificate

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F. Please upload a colored copy of your Driver's License.

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G. Please upload a colored copy of your Passport.

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H. Please upload a current photo of yourself.

Photo will be used for a certificate
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Groom Confirmation of Jewish Status
A. Please upload a signed Confirmation of Jewish Status Witness Form by 2x Jewish People (not related to you and not related to each other).

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B. Please upload colored copy of 2x Witnesses' Drivers Licenses.

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By submitting this application, I hereby declare that all the information provided is true and correct, to the best of my knowledge.
Please click next to enter the details of the Bride.

Bride Personal Details
A. Has a family member of the Bride been approved by The Sydney Beth Din or The Institute of Jewish Status?*
If you clicked YES above, please write their name and year of approval.
B. What is your mobile phone number?*
Format: (000) 000-0000.
C. Please enter your email address:*
example@example.com
D. What is your current address?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. What is your occupation?
F. What is your date of birth?

MonthDayYear
G. What is your place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
H. Were you born Jewish? If not, please provide conversion details.
I. What is your Hebrew name?

Bride Maternal Family Information
A. What is your Mother's name?
B. What is your Mother's maiden name?
C. What is your Mother's Hebrew name?
D. What is your Mother's place of birth?

Street Adress

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E. Is your Mother the daughter of a:

KohenLeviYisroel
Paternal Family Information
A. What is your Father's name?
B. What is your Father's Hebrew name?
C. What is your Father's place of birth?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
D. Is your father the son of a:

KohenLeviYisroel
E. Is your father living?

YesNo

Bride Family Information
A. What is your parents' marriage date?

MonthDayYear
B. Where were your parents married?

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
C. Name of Synagogue where your parents were married:
D. Were your parents born Jewish? If not, please state place & date of Conversion.
E. Were you born from both of your parents’ first marriage?

YesNo
F. Are you the natural child of your parents?

Natural ChildAdoptedAssisted reproductive tech
G. Please provide the number of brothers, sisters, and their respective ages.

Bride Current Marital Status
A. What is your current marital status?

Never marriedDivorcedWidow
B. If the previous answer was Divorced/Widow, please provide the following information (otherwise leave blank):

MonthDayYear
C. Name of previous spouse:

First NameLast Name
D. Officiating Rabbi:
E. Name of Synagogue:
F. Location of Marriage:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
G. If the marriage has been dissolved, please provide details:
H. Were there children from this marriage?

YesNo
I. Age of children:
J. If widowed, did the husband have any brothers?
K. Name of family purity teacher:

First NameLast Name
L. Have you started family purity classes?

YesNo
M. Are you currently pregnant?

YesNo

Bride Documentation
A. Please upload your Birth Certificate.

Cancelof
B. Please upload your Mother's Birth Certificate.

Cancelof
C. Please upload your parents' Ketuba.

Cancelof
D. Please upload your parents' Marriage Certificate.

Cancelof
E. In case of 2nd+ marriage, please upload a GETT or Death Certificate.

Cancelof
F. Please upload a colored copy of your Driver's License.

Cancelof
G. Please upload a colored copy of your Passport.

Cancelof
H: Please upload a current photo of yourself.

Photo will be used for a certificate.
Cancelof

Bride Confirmation of Jewish Status
A. Please upload a signed Confirmation of Jewish Status Witness Form by 2x Jewish People (not related to you and not related to each other).

Cancelof
B. Please upload a colored copy of 2x Witnesses' Drivers Licenses.

Cancelof
By submitting this form, I hereby declare that all the information provided is true and correct, to the best of my knowledge.

Application Payment

Please pay the fee to finalize your application. *

Application Fee

$290.00AUD

Enter coupon

Total

$0.00AUD

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration

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Beth Din Marriage Application

Marriage Details

Groom Personal Details

Groom Maternal Family Information

Groom Paternal Family Information

Groom Family Information

Groom Current Marital Status

Groom Documentation

Groom Confirmation of Jewish Status

Bride Personal Details

Bride Maternal Family Information

Paternal Family Information

Bride Family Information

Bride Current Marital Status

Bride Documentation

Bride Confirmation of Jewish Status

Application Payment