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Get PH FSC 75-94 2013

NOT FOR SALE REPUBLIC OF THE PHILIPPINES DEPARTMENT OF FOREIGN AFFAIRS FORM PRESCRIBED BY FSC 75-94 REVISED MARCH 2013 REPORT OF MARRIAGE DATE OF REPORT day-month-year FOR FILIPINOS MARRIED ABROAD THIS FORM IS NOT FOR SALE DO NOT LEAVE ANY SPACES BLANK INDICATE N/A IF NOT APPLICABLE Foreign Service Post PHILIPPINE CONSULATE GENERAL OSAKA-KOBE JAPAN ID PARTICULARS OF CONTRACTING PARTIES HUSBAND WIFE 1. LAST NAME 2. FIRST NAME 3. MIDDLE NAME 4. DATE OF BIRTH 5. AGE 6. PLACE OF BIRTH 7. CITIZENSHIP 8. RESIDENCE 9. CIVIL STATUS SINGLE DIVORCED WIDOW/WIDOWER 10. RELIGION 11. OCCUPATION DETAILS OF ASCENDANTS HUSBAND S PARENTS WIFE S PARENTS 12. FATHER S FULL NAME 14. MOTHER S FULL NAME 16. NAME OF WITNESS 1 n/a 20. DATE OF MARRIAGE 21. PLACE OF MARRIAGE 22. NAME OF SOLEMNIZING/OFFICIATING OFFICER 23. TITLE OF SOLEMNIZING/OFFICIATING OFFICER We/I solemnly swear under penalty of law that the statements made on this report are true and correct and the attached supporting documents are authentic and we/I hereby set our hand/s this day of at Signature of Husband Signature of Wife EMBASSY/CONSULATE OF THE REPUBLIC OF THE PHILIPPINES The marriage was today registered with the Embassy/Consulate under No* of the Civil Registry Book. This report has been executed in a quadruplicate copy furnished the contracting parties copy transmitted to the Department of Foreign Affairs DFA in Manila copy transmitted to the Civil Registrar through the DFA and copy places in the files of this Embassy/Consulate with the following supporting documents MARRIAGE CERTIFICATE COPY OF PASSPORTS OF CONTRACTING PARTIES Date Service No* O. LAST NAME 2. FIRST NAME 3. MIDDLE NAME 4. DATE OF BIRTH 5. AGE 6. PLACE OF BIRTH 7. CITIZENSHIP 8. RESIDENCE 9. CIVIL STATUS SINGLE DIVORCED WIDOW/WIDOWER 10. RELIGION 11. OCCUPATION DETAILS OF ASCENDANTS HUSBAND S PARENTS WIFE S PARENTS 12. CIVIL STATUS SINGLE DIVORCED WIDOW/WIDOWER 10. RELIGION 11. OCCUPATION DETAILS OF ASCENDANTS HUSBAND S PARENTS WIFE S PARENTS 12. FATHER S FULL NAME 14. MOTHER S FULL NAME 16. NAME OF WITNESS 1 n/a 20. DATE OF MARRIAGE 21. PLACE OF MARRIAGE 22. FATHER S FULL NAME 14. MOTHER S FULL NAME 16. NAME OF WITNESS 1 n/a 20. DATE OF MARRIAGE 21. PLACE OF MARRIAGE 22. NAME OF SOLEMNIZING/OFFICIATING OFFICER 23. TITLE OF SOLEMNIZING/OFFICIATING OFFICER We/I solemnly swear under penalty of law that the statements made on this report are true and correct and the attached supporting documents are authentic and we/I hereby set our hand/s this day of at Signature of Husband Signature of Wife EMBASSY/CONSULATE OF THE REPUBLIC OF THE PHILIPPINES The marriage was today registered with the Embassy/Consulate under No* of the Civil Registry Book. NAME OF SOLEMNIZING/OFFICIATING OFFICER 23. TITLE OF SOLEMNIZING/OFFICIATING OFFICER We/I solemnly swear under penalty of law that the statements made on this report are true and correct and the attached supporting documents are authentic and we/I hereby set our hand/s this day of at Signature of Husband Signature of Wife EMBASSY/CONSULATE OF THE REPUBLIC OF THE PHILIPPINES The marriage was today registered with the Embassy/Consulate under No* of the Civil Registry Book. This report has been executed in a quadruplicate copy furnished the contracting parties copy transmitted to the Department of Foreign Affairs DFA in Manila copy transmitted to the Civil Registrar through the DFA and copy places in the files of this Embassy/Consulate with the following supporting documents MARRIAGE CERTIFICATE COPY OF PASSPORTS OF CONTRACTING PARTIES Date Service No* O. .

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