Transcription of Application for a Manitoba Marriage Document …
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Application for a Manitoba Marriage Document …
Document ISSUED IN / LANGUE DEMAND E : English / Anglais OR / OU French / Fran ais page 1 of 2 page 1 de 2 Section 1 - Mailing address / Adresse postale Application for a Manitoba Marriage Document Demande d attestation de mariage au Manitoba Section 2 - Type of Document requested / Type de Document demand Please PRINT clearly to complete the front and back of this Application . Incomplete applications or those with insufficient payment will be returned. Veuillez crire lisiblement EN LETTRES MOUL ES en remplissant les deux c t s du formulaire. Les demandes incompl tes ou accompagn es d un paiement insuffisant seront retourn es. Address / Adresse City / Ville Province Postal Code / Code postal Email address / Adresse de courriel Name / Nom - ( ) - ( ) Daytime phone number(s) / Num ro(s) de t l phone (jour) Quantity / Quantit Marriage Certificate / Certificat de mariage _____ Copy of registration (this is not a Marriage certificate) / Copie du bulletin d enregistrement (pas un certificat de mariage) _____ Section 3 - Manitoba Marriage / Mariage au Manitoba Date of Marriage / Date du mariage Year / Ann e Month / Mois Day / Jour Place of Marriage / Lieu du mariage Last name prior to this Marriage / Nom de famille avant ce mariage Given name(s) / Pr nom(s) Middle name(s) / Deuxi me(s) pr nom(s) Place of birth / Lieu de naissance (province if bor)
DOCUMENT ISSUED IN / LANGUE DEMANDÉE : English / Anglais OR / OU French / Français Page 1 of 2 Page 1 de 2 Section 1 - Mailing address / Adresse postale Application for a Manitoba Marriage Document
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