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Please complete the following form which will be used to apply for your New Zealand Marriage License.

All fields marked with an * must be completed if applicable.

Please do not use any abbreviations like St, Ave, Apt or abbreviations that may apply to the State or County you live in when filling out your address information.

Please try to be as specific as possible about your occupation. For example if you are a Teacher please specify what kind of Teacher you are ie. Primary School Teacher etc.

If you are retired or not currently employed please write your usual or previous occupation.

Your parents details are still required even if one or both of your parents have passed away.

	Bride	Bridegroom
Your first name or given name *
Your middle name(s) *
Current surname or family name*
First or given name(s) at birth (if different from above)
Surname or family name at birth (if different from above)
Full date of birth (eg. 1 July 1973)*
Place of birth (Town, State, Country in full)*
Usual occupation, profession or job (as much detail as possible)*
Maritial Status (select never married or previously married)*	Select an option... Never Married Previously Married	Select an option... Never Married Previously Married
If previously married state how that relationship ended - by dissolution/divorce order or death of spouse and the date that relationship ended
Usual residential address in full:* - flat number (if applicable) - street number and name - suburb or rural locality - city, town or district - country
Your Mother's first name or given name*
Your mothers middle name(s)*
Mother's surname or family name*
Mother's surname or family name at birth (maiden name)*
Your Father's first name or given name*
Your Father's middle name(s) *
Fathers surname or family name *
Father's surname or family name at birth (if different from above)
Your Email*