PLEASE USE BLOCK CAPITALS
Personal Details
Party 1 (Groom)
Party 2 (Bride)
Forename(s):
Forename(s):
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Surname(s):
Surname(s):
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Other Surnames (including previous
Other Surnames (including previous
married names, birth surnames etc):
married names, birth surnames etc):
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Home Address:
Home Address:
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Country:
Country:
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Date of Birth:
Date of Birth:
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PPS Number:
PPS Number:
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Nationality:
Nationality:
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Place of Birth:
Place of Birth:
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Occupation:
Occupation:
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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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