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    Bi 31

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    shameela

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    © All Rights Reserved
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    Bi 31

    Uploaded by

    shameela
    11 views1 page

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    bi-31

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    Bi 31

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    shameela

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    Bl-31

    DECLARATION FOR THE PURPOSE OF A MARRIAGE


    [Section 12 (b) of the Marriage Act, 19611
    Note: (a) Marriage officers should note that section 12 (a) of the Marriage Act provides that if an identity document has been issued
    to a prospective husband/wife such identity document must be requested by the marriage officer for perusal.
    (b) This declaration must therefore only be completed by a prospective husband/wife who is not in possession of an
    identity document referred to in the Identification Act, 1997.
    (c) PRINT CLEARLY USING BLACK INK.

    A. Particuiars of appIicant:
    1. Surname . . . . . . ~..,.... . . ..‘.............~........~................................~........................................~...............................”...............~......“.~.~.
    2. Maiden name . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~.....~..........~.~...~........~~~...........~...~..~........~.~.~........~~.....~..~...~.........................~.....~~....~..~.~~.~.
    3. Forenames in full. . . . ..“......................~.............~....................................~.........................~..................~.....................“”......‘...“...
    4. Date of birth . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~..~....... 5. Country of birth . . . . . . . . . . . . . . . . . . . . . ~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..“.“........
    6. Marital status (e.g. bachelor, spinster, widower, widow or divorcee, as the case may be) . . . . . . ~. . . . . . . . ~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
    7. Gender . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~. . . . . . . . . . ~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..............~.......................................
    8. Permanent residential address . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~.~.~........................ ~. . . . . . . . . ~. . ..“............“... ~.
    9. If not a South African citizen, residential status in Republic (quote lmmigrat~~n Permit or Temporary Residence Permit No.
    and date of issue) . ..~. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~...~.............................................. ~. . . . . . . . . . . . . . . . . . ..~................~..
    NB: An alien who is illegally in the country or who is a prohibited person or who resides temporarily in the Republic,
    must please note that he or she will not acquire a right to permanent residence in the Republic merely as a result
    of his or her marriage to a South African citizen or a permanent resident-see section 25 of the Aliens Control
    Act, 1991~

    B. Particulars of prospective *husband/wife:


    10. Surname...~.. . . . . . . . . . . . . . . . . . ..~..................~........~.~.....~......~...~...~........~~....~~...~...............~...~.~.....~..~......~~..........~~...........~...~......~....
    11. Maiden name . . . . . . . . . . . . . . . . * . . ..~.....~.....~.......~.........~......~.............‘.................................~.~..”............................~.....“..............~.....
    12. Forenames in full. . . . . . . . . . ..~.~.................*...~.~............*.*..........~...~..............~...................~...............................~............“~.......~.....
    13. Date of birth . . . . . . . . . . . . . . . .~ . . . . . . . . . . . . . . . . . . . . . . . . ..~.~.~.*................~..................................”.....................~~....“........~.........~..........*“.........
    I *declare under oath/solemnly declare that the particulars given above are to the best of my knowledge and belief true
    and correct and that there is no lawful impediment to our prospective marriage.

    . . . . . . . . . . . . . . . . . . . . . . . . . ..*..............................*...........*..... . . . . . . . . . . . . . ..*......................*.....................................
    Date Sig-ia ture
    * Delete whichever is not applicable.

    CL Dec!aratkm:

    I certify that before administering the prescribed oath/solemn declaration I asked the deponent the following questions and
    wrote down his/her answer in his/her presence:
    (1) Do you know and understand the contents of the above declaration?

    Answer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..““............ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~. . . . . . . . . . . . . . . . . . . . . . . . . . ..~...~...................~.......~.........


    (2) Do you have any objection to taking the prescribed oath?
    Ans wet-. . . . . . . . . ..~.‘............~......“........”...~.”.......~......................“.~.........~.~....~......~.........~.......~...~...........“..“...~....~~...........~..
    (3) Do you consider the prescribed oath/solemn declaration to be binding on your conscience?
    Answer.. . . . . . . . . . . . . . . . . . . . ..“.........~..........................................~.........~.........................‘............“........~...........‘....~....‘...“..........
    I certify that the deponent has acknowledged, that he/she knows and understands the contents of the above
    declaration which was sworn to/affirmed before me and that the deponent’s signature/thumb print/mark was placed
    thereon in my presence.
    I also certify that the contents of paragraph 9 were properly explained to the deponent who acknowledged that he or she
    understands the implications thereof.

    Signed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~....................,.............
    Commissioner of Oaths

    Forename(s} and surname . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~...............................................................................

    Address.. . . . . . . . . . . . . . . . . . . . . . . . . ..~...........................................................~.......~..................~.......~......~‘.~...‘~..~......~........................~...

    Designation (Rank) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ..~.................................. Date . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

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