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Declaration for Marriage Registration Application
2011/04/01     Source:

I hereby declare for the application for marriage registration that:

Name of Applicant: ________________Gender:____Nationality:_______
Date of Birth:________ (Date/Month/Year)  Nation:______Occupation:______
Degree of Education:_______ ID Card Number:_______________________
Registered Permanent Residence:_____________________________________
Marriage Status: _______ (unmarried/divorced/loss of spouse)

Name of Spouse: ________________Gender:____Nationality:_______
Date of Birth:________ (Date/Month/Year)  Nation:______Occupation:______
Degree of Education:_______ ID Card Number:_______________________
Registered Permanent Residence:_____________________________________
Marriage Status: _______ (unmarried/divorced/loss of spouse)

Both of us are single. We do not have the lineal kinship or collateral kinship within three generations, and we know the conditions of health of each other. In accordance with the regulations of Marriage Law of the People’s Republic of China, we now apply to get married.

All the above declarations are true, and I am willing to assume all corresponding legal responsibilities if there is any falsehood.

Declarant:____________      Supervisor:____________
____________ (Date/Month/Year)   ____________ (Date/Month/Year)

(Note: Signing of the declarant shall be executed under the supervision of the supervisor.)

申请结婚登记声明书

本人申请结婚登记,谨此声明:
本人姓名:________________性别:____国籍:_______
出生日期:_____年___月___日  民族:______职业:______
文化程度:_______ 身份证件号:_______________________
常住户口所在地:_____________________________________
婚姻状况:_______(未婚/离婚/丧偶)
对方姓名:________________性别:____国籍:_______
出生日期:_____年___月___日  民族:______职业:______
文化程度:_______ 身份证件号:_______________________
常住户口所在地:_____________________________________
婚姻状况:_______(未婚/离婚/丧偶)

本人与对方均无配偶,没有直系血亲和三代以内旁系血亲关系,了解对方的身体健康状况。现依照《中华人民共和国婚姻法》的规定,自愿结为夫妻。
本人上述声明完全真实,如有虚假,愿承担法律责任。
声明人:____________    监誓人:____________
_____年____月____日    _____年____月____日   
(注:声明人签名须在监誓人面前完成)

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