Postal Notification Of Intention To Marry Page 2

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PLEASE USE BLOCK CAPITALS
Personal Details
Party 1 (Groom)
Party 2 (Bride)
Forename(s):
Forename(s):
______________________________________
______________________________________
Surname(s):
Surname(s):
______________________________________
______________________________________
Other Surnames (including previous
Other Surnames (including previous
married names, birth surnames etc):
married names, birth surnames etc):
______________________________________
______________________________________
Home Address:
Home Address:
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
______________________________________
Country:
Country:
______________________________________
______________________________________
Date of Birth:
Date of Birth:
______________________________________
______________________________________
PPS Number:
PPS Number:
______________________________________
______________________________________
Nationality:
Nationality:
______________________________________
______________________________________
Place of Birth:
Place of Birth:
______________________________________
______________________________________
Occupation:
Occupation:
______________________________________
______________________________________
Daytime Telephone Number:
Daytime Telephone Number:
(Number at which you are contactable 9.30am - 5.30pm Monday
(Number at which you are contactable 9.30am - 5.30pm Monday
to Friday)
to Friday)
______________________________________
______________________________________

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