the marriage licence, to register notices, photocopies and for statistical, research,
adopt alse statement on this
oad, PO Box 4600, Thunder Bay ON P7B 6L8.
Telephone: 1-800-461-2156 (out
© Queen's
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Registrar Gene
Office of the
country)
country)
will be used to determine whether to issue
and record the marriage, provide certified copies, extracts, certificates, search
ion and adoption disclosure purposes. It is an offence to knowingly make a f
o: the Deputy Registrar General, Office of the Registrar General, 189 Red River R
sideTorontobutwithinNorthAmerica)or416 325 8305(inTorontooroutsideNo
Printer for Ontario, 2018
Form
Marriage Licence No.
SAMPLE
ral
Marriage Licence Application
Marriage Act - Form 3
Applicant
Joint Applicant
Doe
Current last name
or single name
SMITH
JANE ANNE
First and middle
names
JOHN ALEX
Never married widowed divorced Marital status Never married widowed divorced
Country of divorce
INDIA
If divorced
Country of divorce
Canada
TOP RIGHT OF
City of divorce if in Canada City of divorce if in Canada
DIVORCE
KITCHENER
CERTIFICATE
Court file number
123456
Court file number
123456
Not Required. Can leave blank.
Religious
denomination
Catholic
Age
31
Date of birth (yyyy/mm/dd)
1990/01/01
Age and date of
birth
Age
31
Date of birth (yyyy/mm/dd)
1990/02/01
Province (if outside Canada, state the country)
INDIA
Place of birth
Province (if outside Canada, state the country)
ONTARIO
Last name or single name
DOE
Parent's name
and place of birth
Last name or single name
WRIGHT
First and middle names
JOANNE MARY
First and middle names
ALICE MARIE
Province (if outside Canada, state country)
ENGLAND
Province (if outside Canada, state country)
ONTARIO
Last name or single name
DOE
Parent's name
and place of birth
Last name or single name
SMITH
First and middle names
MOHAMMED KHAN
First and middle names
JOSEPH JOE
Province (if outside Canada, state country)
INDIA
Province (if outside Canada, state country)
ONTARIO
Last name or single name
Parent's name
and place of birth
Last name or single name
Marx
First and middle names
Leave blank.
First and middle names
Richard
Leave
blank. Or
Province (if outside Canada, state
Or add legal
step-parents
Province (if outside Canada, state country)
Ontario
add legal
step-
Last name or single name
(ie: legally
adopted you)
Parent's name
and place of birth
Last name or single name
parents
(ie: legally
First and middle names First and middle names
adopted
you)
Province (if outside Canada, state
Province (if outside Canada, state country)
Street name and number
123 STREET NAME
Apt
Present address
or postal address
of applicants
Street name and number
123 STREET NAME
Apt
City or town
TORONTO
Province/Country
ON
City or town
TORONTO
Province/Country
ON
Postal code
M4E 1G4
Telephone Number
XXX-XXX-XXXX
Postal code
M4E 1G4
Telephone Number
XXX-XXX-XXXX
Street name and number
Examples:
Apt
Permanent
address of
applicants if
different from
above
Street name and number
Apt
City or town
Province/Country
church,
mosque,
City or town
Province/Country
Postal code
Telephone Number
temple, farm,
backyard
Postal code
Telephone Number
Intended place of marriage
DTK Chapel
City, town, village
Kitchener
Intended date of marriage
October 31, 2021
I declare that the above information is correct.
Signature of Applicant
I declare that the above information is correct.
Signature of Joint Applicant
Required. Future date
Date (yyyy/mm/dd)
only. Cannot be date of
Date (yyyy/mm/dd)
religious ceremony (if
already occurred)
Personal Information contained on this form is collected under the authority of the Marriage Act, R.S.O. 1990, c. M. 3 and
medical, law enforcement, form. Questions about this
Original signatures for both is required as well as two
collection should be directed t
- - rthAmerica),416-325-3408(TTY/Teletypewriter).
sets of ID for each person is required upon in-person
application. Licence will not be issued without the ID.
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11018E (2018/02)