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BALI WEDDING BOOKING APPLICATION FORM

	Email Address (required)
	Fax /Phone Number (required)

1	GROOM
	Name
	Nationality
	Place and Date of Birth
	Religion
	Occupation
	Local Address (in Bali)
	Permanent Address
	Have/have not been marriage before	No Yes
	Name of ex Wife (if any)
	Children from previous marriage (if any)

2	FATHER OF GROOM
	Name
	Age
	Religion
	Occupation
	Permanent Address

3	MOTHER OF GROOM
	Name
	Age
	Religion
	Occupation
	Permanent Address

4	BRIDE
	Name
	Nationality
	Place and Date of Birth
	Religion
	Occupation
	Local Address (in Bali)
	Permanent Address
	Have/have not been marriage before
	Name of ex Husband (if any)
	Children from previous marriage (if any)

5	FATHER OF BRIDE
	Name
	Age
	Religion
	Occupation
	Permanent Address

6	MOTHER OF BRIDE
	Name
	Age
	Religion
	Occupation
	Permanent Address

7	FIRST WITNESS
	Name
	Age
	Religion
	Occupation
	Permanent Address

8	SECOND WITNESS
	Name
	Age
	Religion
	Occupation
	Permanent Address

9	Wedding Type


10	Preferred Place & Date Of Wedding Ceremony

REQUIRED DOCUMENTS

Copy of Details Page Of Passport (HIS / HERS / WITNESSES)
Copy of Birth Certificate (HIS / HERS)
Copy of Divorce / Death Certificate (if applicable) - (HIS / HERS)
Copy of Baptism Certificate (HIS / HERS)
Photographs of couple together (4 X 6 cm) 5 pieces

NOTE :

Additional items are required for Catholic couples,
and this information will be given upon request.

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