Marriage Licence No.

Marria
ge Licence No. Marriage Lic
ence No.

Office Marriage L
the Offi
Applicant ce of the icence Ap
Office
f the
plication
First and middle Registra Marriage L
First and middle r Genera
l Regist icence Ap
rar Gene
plication
ral
Marriage L
icence Ap
plication
Marriage
denomination
Act Marria
birth ge Act - F
orm 3 - Fo
rm 3 - For
m3
Joint
Curren Appli
t last n
ame
cant J
Curren oint A
t last n
ame pplica
Curren nt
t last n
ame
or si
ngle n
ame o
r singl
e nam
e or si
ngle n
ame

names

Never
divorc
married
ed
Never
married

Permanent
address of
applicants
address ofif
applicants if
above City of divo
rce if in Ca
nada City o
f divorce if
in Canada
City of divo
rce if in Ca
nada City o
f divorce if
in Canada
City of divo
rce if in Ca
nada City o
f divorce if
in Canada

11018E (2018/02) © Queen's Printer for Ontario, 2018

Provi
Place of birth
nce (i
Place of birth
f outs
Place of birth
ide C
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a, sta
te the
count
ry) Pr
ovinc
e (if o
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state
the c
ountr
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state
the c
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the c
Provi
nce (i
f outs
ide C
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the c
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ovinc
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the c
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First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
 First and mi
ddle names
First and mi
ddle names
First and mi
ddle names
First and mi
ddle names

Str
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Str
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Str
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 Present
address
Presen
t addres
s
or
l addres
s
stal
ress
postal
ddress

plicants
of
cants

Str
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na
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 differ
ent
om
iffere
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m

Int Intend
en ed dat
de e of m
dp arriage
lac Intend
eo ed dat
fm e of m
arri arriage
ag Intend
eI ed dat
nte e of m
nd arriage
ed Intend
pla ed dat
ce e of m
of arriage
ma
rria
ge
Int
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de
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Personal Information contained
on this form is collected under th
e authority of the Marriage Act,
R.S.O. 1990, c. M. 3 and will be
used to determine whether to iss
ue
the marriage licence, to register
and record the marriage, provide
certified copies, extracts, certific
ates, search notices, photocopie
s and for statistical, research,
medical, law enforcement, adopt
ion and adoption disclosure purp
oses. It is an offence to knowingl
y make a false statement on this
form. Questions about this
collection should be directed to:
the Deputy Registrar General, O
ffice of the Registrar General, 18
9 Red River Road, PO Box 4600
, Thunder Bay ON P7B 6L8.
Telephone: 1-800-461-2156 (out
side Toronto but within North A
merica) or 416-325-8305 (in Tor
onto or outside North America),
416-325-3408 (TTY/
Teletypewriter).

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