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Booking Form

Please complete all fields.

Your Contact Details
Your Name
Postal Address
Email Address
Telephone
Fax

Groom
Name
Nationality
Place & Date of Birth
Religion
Occupation
Local Address (in Bali)
Permanent Address
Have been married previously		No Yes
If yes, name of ex-wife
Children from previous marriage

Father of Groom

Name
Age
Religion
Occupation
Permanent Address

Mother of Groom

Name
Age
Religion
Occupation
Permanent Address

Bride

Name	:
Nationality	:
Place & Date of Birth	:
Religion	:
Occupation	:
Local Address (in Bali)	:
Permanent Address	:
Have you been married previously	:	No Yes
If Yes, name of ex-husband	:
Children from previous marriage	:

Father of Bride

Name
Age
Religion
Occupation
Permanent Address

Mother of Bride

Name
Age
Religion
Occupation
Permanent Address

First Witness
Important: Please note that witnesses may not be immediate family i.e. parents or siblings.

Name
Age
Religion
Occupation
Permanent Address

Second Witness
Important: Please note that witnesses may not be immediate family i.e. parents or siblings.

Name
Age
Religion
Occupation
Permanent Address

Place & Date of Ceremony

Preferred Date of Wedding
Preferred Place of Wedding

Flight Details

Arrival Date
Flight No.
Departure Date
Flight No.



Required Documents Copy of Details Page of Passport for Bridge, Groom & Witnesses Copy of Birth Certificate Bride & Groom Copy of Divorce / Death Certificate (if applicable) Copy of Baptism Certificate for Bride & Groom Five (5) photographs of couple together (passport size taken horizontally) NOTE: These photos will be used on your marriage certificate, groom must wear shirt with collar and bride must not have exposed shoulders. Additional items are required for Catholic couples This information can be provided if required.