Translation of marriage certificate, Ukraine

Ukraine

MARRIAGE CERTIFICATE

Family name —

Name —

Patronymic name —

Born —

in — town, — oblast, Ukraine

Citizen of Ukraine

Family name —

Name —

Patronymic name —

Born on —

in — town, — region, — oblast, Ukraine

Citizen of Ukraine

have entered into a marriage —- (the —-)

that is registered in the civilian registry book record No.— from —.

After marriage the husband has received the family name —, wife: —.

Place of registration: registry office of —- regional Administrationof Justice .

State authority that issued the certificate: registry office of — regional Administrationof Justice in —.

Data of issue: —

Signature of the head of the

registry office: signature /—/

Round official seal

Ministry of Justice of Ukraine

registry office of —- regional Administration of Justice in — oblast.

Series: — #–