FORM 6

FORM OF CERTIFICATE

(Marriage in Articulo Mortis)

[s. 39.]

1984 Ed.]

Father's name and surname

Rank or profession of father

Names

Residence

Rank or profession of father

No.

When married and Con- Age sur- dition

Rank or profes- sion

STON names at the time of marriage

Marriage Ordinance, section 39.

19 . Marriage solemnized at in Hong Kong.

19 Marriage solemnized at

Butt Certificate of Marriage

Marriage Ordinance, section 39.

at Certificate of Marriage in Hong Kong,

Residence Father's name at the time of and marriage surname

Marriage [CAP. 181

17 Name of wife.

Married at ceremonies of the according to the rites and by/before me.

This marriage was solemnized between- in the presence of us.

Us [or between me and .........]

Married at ceremonies of the

This marriage was solemnized between- us [or between me and

according to the rites and by before me.

in the presence of us.

NOTE--If either of the parties married is unable to sign, the Registrar or minister is to certify to the same and to give the reason for such omission as follows- And I the said do hereby certify that the said

the state of his health [or as the case may be].

(Signed)

was unable to sign this certificate owing to

Registrar or Minister celebrating marriage. (Amended, 20 of 1948, s. and I of 1960, x. 19)

No.

Names

No.

When mar- Rank or and Con- Age sur- dition profes- Date 19 ried sion names

Name of husband.

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