APPLICATION FOR A MARRIAGE CERTIFICATE
PLEASE READ THESE NOTES before completing this form.
Marriage Certificate
  : BK8/16/422
1 TO BE COMPLETED BY THE APPLICANT
Name of applicant Mr
Mrs
Miss/Ms
(STATE NAME IN FULL)
Full postal address
 
Post Code: Telephone no: e-mail address:
2 Are you applying for your own marriage certificate? Yes/No
If not please state your relationship to the person to whom the certificate relates:
 
3 DETAILS OF MARRIAGE CERTIFICATE REQUIRED
SPOUSE PARTNER
SURNAME   SURNAME ANY OTHER SURNAME USED BEFORE THIS MARRIAGE
 
FORENAME(S)   FORENAME(S)  
DATE OF MARRIAGE PLACE OF MARRIAGE
DAY
 
MONTH
 
YEAR
 
NAME OF BUILDING, CHURCH OR REGISTER OFFICE AND LOCALITY
 
4 REQUIREMENTS Send this Application to:
MARRIAGE CERTIFICATE £10.00 Superintendent Registrar, Wirral Register Office, Town Hall, Mortimer Street, Birkenhead, CH41 5EU, UK
I requireNUMBER marriage certificate(s)
5 REMITTANCE ENCLOSED  (POSTAL APPLICATIONS ONLY)
UK: applications should enclose an SAE. Postal order or cheque made payable to : Wirral Council for £ 10.00
Overseas: applications should enclose a self addressed envelope and two IRCs, with payment by Bankers Sterling Draft payable to : Wirral Council
The Fee for a certificate issued against this form 'as printed' will not be refunded.
You are strongly recommended to add any qualifying information you may have in order to help the registrar issue the correct certificate.