In Quiry

BOOKING APPLICATION FORM
 
GROOM
Name
Nationality
Place and Date of Birth
Religion
Occupation
Local Address(In Bali)
Permanent Address
Have/have not been marriage before
Name of ex Wife(if any)
Children from previous marriage(if any)
 
FATHER OF GROOM
Name
Age
Religion
Occupation
Permanent Address
   
MOTHER OF GROOM  
Name
Age
Religion
Occupation
Permanent Address
 
BRIGE
Name
Nationality
Place and Date of Birth
Religion
Occupation
Local Address(In Bali)
Permanent Address
Have/have not been marriage before
Name of ex Wife(if any)
Children from previous marriage(if any)
 
FATHER OF BRIGE
Name
Age
Religion
Occupation
Permanent Address
   
MOTHER OF BRIGE  
Name
Age
Religion
Occupation
Permanent Address
 
FIRST WITNESS
Name
Age
Religion
Occupation
Permanent Address
   
SECOND WITNESS  
Name
Age
Religion
Occupation
Permanent Address
 
YOUR CONTACT INFORMATION
Address(Optional)
Phone/Fax
* E-mail
Comment(Optional)
 
PREFERRED PLACE & DATE OF WEDDING CEREMONY
 
REQUIRED DOCUMENT CHECK LIST
HIS
HER
WITNESS
Photocopy of details page of passport
Photocopy of Birth Certificate
Photocopy of Divorce/Death Certificate (if applicable)
Photocopy of Baptism Certificate (for Catholic only)
Photograph of couple together (4x6 cm) 6pcs
(His & Her)
 

Note :

Additional items are required for Catholic couples, and this information will be given upon request

 
 
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