Fill Out Completely, Accurately, and Legibly - Use Ink or Typewriter
Fill Out Completely, Accurately, and Legibly - Use Ink or Typewriter
Fill Out Completely, Accurately, and Legibly - Use Ink or Typewriter
________________________
Date Attach recent 2x2 picture with
signature at the back
Sir/Madam:
I hereby declare:
2. That I am _____________________________.
(Male/Female)
9. That my religion or religious sect operates in the Philippines and in good repute and I am assigned to
its church, mosque, or chapel situated in _______________________________________________
________________________________________________________________________________.
(Name of Church)
10. That I am applying for the registration of my authority as Solemnizing Officer in accordance with
Article 7 (2) of the Family Code of the Philippines promulgated on August 3, 1998 and
Administrative Order no. 1, series of 2021 and that may authority to solemnize marriage be
registered.
______________________________________
(Signature over printed name of the applicant)
SUBSCRIBED AND SWORN to before me this _________ day of _________________ in the city/municipality of
________________________________, applicant exhibiting his
________________________________ issued at ________________________________on
___________________________.
______________________________________
(Signature over printed name of the applicant)