Marriage
Licence
No.
cx
Ontario
Service
Ontario
Office
of
the
Registrar
General
Marriage
Licence
Application
Marriage
Act
-
Form
3
Applicant
Joint
Applicant
Current
last
name
or
single
name
First
and
middle
names
Never
married
widowed
divorced
Marital
status
Never
married
•
widowed
•divorced
Country
of
divorce
If
divorced
Country
of
divorce
City
of
divorce
if
in
Canada
City
of
divorce
if
in
Canada
Court
file
number
Court
file
number
Religious
denomination
Age
Date
of
birth
(yyyy/mm/dd)
Age
and
date
of
birth
Age
Date
of
birth
(yyyy/mm/dd)
Province
(if
outside
Canada,
state
the
country)
Place
of
birth
Province
(if
outside
Canada,
state
the
country)
.„
Last
name
or
single
name
Parent's
name
and
place
of
birth
Last
name
or
single
name
First
and
middle
names
First
and
middle
names
Province
(if
outside
Canada,
state
country)
Province
(if
outside
Canada,
state
country)
Last
name
or
single
name
Parent's
name
and
place
of
birth
Last
name
or
single
name
First
and
middle
names
First
and
middle
names
Province
(if
outside
Canada,
state
country)
Province
(if
outside
Canada,
state
country)
Last
name
or
single
name
Parent's
name
and
place
of
birth
Last
name
or
single
name
First
and
middle
names
First
and
middle
names
Province
(if
outside
Canada,
state
country)
Province
(if
outside
Canada,
state
country)
Last
name
or
single
name
Parent's
name
and
place
of
birth
Last
name
or
single
name
First
and
middle
names
First
and
middle
names
Province
(if
outside
Canada,
state
country)
Province
(if
outside
Canada,
state
country)
Street
name
and
number
Apt
t
Presen
address
or
postal
address
of
applicants
Province/Country
City
Street
name
and
number
Apt
City
or
town
or
town
Province/Country
Postal
code
Telephone
Number
Postal
code
Telephone
Number
Street
name
and
number
Apt
Permanent
f
addresso
applicants
if
different
from
above
Province/Country
City
Street
name
and
number
Apt
City
or
town
or
town
Province/Country
Postal
code
Telephone
Number
Postal
code
Telephone
Number
Intended
place
of
marriage
City,
town,
village
County
or
district
Intended
date
of
marriage
I
declare
that
the
above
information
is
correct.
Signature
of
Applicant
I
declare
that
the
above
information
is
correct.
Signature
of
Joint
Applicant
Date
(yyyy/mm/dd)
Date
(yyyy/mm/dd)
Personal
Information
contained
on
this
form
is
collected
under
the
authority
of
the
Marriage
Act,
R.S.O.
1990,
c.
M.
3
and
will
be
used
to
determine
whether
to
issue
the
marriage
licence,
to
register
and
record
the
marriage,
provide
certified
copies,
extracts,
certificates,
search
notices,
photocopies
and
for
statistical,
research,
medical,
law
enforcement,
adoption
and
adoption
disclosure
purposes.
It
is
an
offence
to
knowingly
make
a
false
statement
on
this
form.
Questions
about
this
collection
should
be
directed
to:
the
Deputy
Registrar
General,
Office
of
the
Registrar
General,
189
Red
River
Road,
PO
Box
4600,
Thunder
Bay
ON
P7B
6L8.
Telephone:
1-800-461-2156
(outside
Toronto
but
within
North
America)
or
416-325-8305
(in
Toronto
or
outside
North
America),
416-325-3408
(TTY/Teletypewriter).
11018E
(2018/02)
©
Queen's
Printer
for
Ontario,
2018
