Church Certificate of No Impediment to Marriage

CHURCH CERTIFICATE OF NO IMPEDIMENT TO MARRIAGE

Recommendation for Marriage
This is to certify that the parishioner whose particulars are given below is free of marriage impediments.
IDENTIFICATION PARTICULARS:
Full Legal Name:
Full Legal Name in Arabic:
Date & Place of Birth: (yyyy/mm/dd), Town/City, Country
Please include all details above in your response.
Current Address

CURRENT ADDRESS (LINE 1): Unit/Apt #, Street Name

Street Address Line 2

TOWN/CITY, STATE/PROVINCE ZIP/POSTAL CODE, COUNTRYState / Province

Postal / Zip Code
Immigration Status in the Country of Residence:

MARITAL STATUS:
Engaged Before:
Number of Times:
If not, Enter 0.
Number of years in previous engagement:
If not, Enter N/A.
Date of previous engagement:

MonthDayYear
Married Before (please choose one):
Number of Times:
If not, Enter 0.
Number of years in previous marriage:
If not, Enter N/A.
Date of previous engagement:

MonthDayYear
Widow/er (please choose one):
Number of Times:
If not, Enter 0.
Date of spouse's death:

MonthDayYear
If married before, please submit the number of times you have been married in each state:

If not applicable, Enter 0.
Church:
Civil:
Cohabitation:
Clerical Council that Issued Remarriage Permit:
Date and Reference # of Remarriage Permit:

CHURCH CERTIFICATE OF NO IMPEDIMENT TO MARRIAGE