CERTIFICATE OF MARRIAGE VILLAGE NAME: VILLAGE CODE: I----------------------------------------------HGB/GB,village -----------------HEREBY CERTIFY THAT ---------------------------D/O--------------------R/O----------------------------------------------- AND --------------------------------------------S/O-------------------R/O -----------------------------------APPEARED BEFORE ME THIS --------------DAY OF-----------------20---AND EACH OF THEM, IN MY PRESENCE AND IN THE PRESENCE OF THREE WITNESSES WHO HAVE SIGNED HEREUNDER, HAVE DECLARED THAT A CEREMONY OF MARRIAGE HAS BEEN CERTIFICATE NO.:
PERFORMED BETWEEN THEM AND THEY HAVE BEEN LIVING TOGETHER AS HUSBAND AND WIFE SINCE THE TIME OF THEIR MARRIAGE, AND THAT IN ACCORDANCE WITH THEIR DESIRE FOR CERTIFICATION, THE SAID MARRIAGE HAS THIS ------------DAY OF ------20---- BEEN CERTIFIED.
_________________ SIGNATURE ( ) NAME OF HGB/GB
_____________________ SIGNATURE ( NAME OF WIFE
_______________________ SIGNATURE ) ( ) NAME OF HUSBAND
____________________ _____________________ SIGNATURE SIGNATURE ( ) ( ) NAME OF 1ST WITNESS NAME OF 2ND WITNESS
________________________ SIGNATURE ( ) NAME OF 3RD WITNESS
COUNTERSIGNED WITH SEAL BY (CO/EAC/SDO---------------)