Marriage Application Form - Philadelphiaec

Marriage Application Form

Date of marriage

Layout

Full Name of Male

Residence Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Birth Date

Age

Birth Place

Marital Status

Single
Divorce
Widowed

Parents

Full Name of Father

Current Residence

Full Name of Mother

Current Residence

Witness

Name

Residence Address

Address Line 1

Address Line 2

City

State

Zip Code

Full Name of Female

Residence Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone Number

Birth Date

Age

Birth Place

Marital Status

Single
Divorce
Widowed

Parents

Full Name of Father

Current Residence

Full Name of Mother

Current Residence

Witness

Name

Residence Address

Address Line 1

Address Line 2

City

State

Zip Code

Date of Application

Contact information

Psalm 119:105

Your word is a lamp for my feet, a light on my path

The Lord is my shepherd; I shall not want.
Psalm 23:1

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