Translation of divorce certificate

Ukraine

DIVORCE CERTIFICATE

The marriage between husband

—

and wife

—-

is dissolved and this was registered in the civilian registry book, record # — from —-

Last name given after divorce:
to him: —
to her: —

Place of registration: registry office of Municipal Administrationof Justice —.

State authority that issued the certificate: registry office of Municipal Administrationof Justice of —-.

The certificate is given to citizen —

Data of issue: —

 

 

Signature of the head of the

registry office: signature —

 

Round official seal

Ministry of Justice of Ukraine

registry office of municipal Administration of Justice of —-

Series— #—