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Online Marriage Certificate Application Form

Government of Jamaica
Registrar General’s Department

Application for a Certified Copy of Marriage Certificate

Form MARREQ
Rev. 2004.3

The more accurate information provided, the better chance for prompt and accurate service.
Fields outlined in red are mandatory.

I hereby apply for         Certified Copy(s) of the Marriage Certificate issued for:

Husband’s First Name

Husband’s Middle Name
 

Husband’s Last Name

Wife’s First Name

Wife’s Last Name

Wife’s Last Name before Marriage

Date of Marriage
- dd-mm-yyyy format

Type of Marriage

Place of Marriage (Church Name, Home Address, erc.)
 

Parish of Marriage

District of Marriage

Marriage Officer’s First Name

Marriage Officer’s Middle Name
 

Marriage Officer’s Last Name

Witness to Husband’s Signature First Name

Witness to Husband’s Signature Last Name

Witness to Wife’s Signature First Name

Witness to Wife’s Signature Last Name
 

Applicant’s First Name

Applicant’s Middle Name

Applicant’s Last Name

Applicant’s Address (Street)

Applicant’s Address (Line 2)

Applicant’s Address (Town)

Applicant’s Address (Parish) - If In Jamaica

Applicant's Country

Additional address information required for applicants living outside of Jamaica
Applicant's City Applicant's State Applicant's Postcode Zip

Applicant's Relationship
To Married Couple

Your email address

Telephone Numbers
(Home)
(Work)
(Cell)

Any Special Instructions.

Pickup location information required for applicants living in Jamaica

                

   

Reason for applying

IF VALID DATA WAS NOT ENTERED IN THE MANDATORY FIELDS THIS APPLICATION CANNOT BE PROCESSED


     


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