Translation of marriage registration certificate

Ministry of Justice of Ukraine

Main Department

In — oblast

Civilian Registry Office

—

Date 16—

# —

CERTIFICATE

Issued to —

This is to certify that on — under # — there was a marriage registered between — and —- in the Executive Committee of the town council of —, — Region, – oblast.

On —- the mentioned marriage was dissolved that was registered in the Department of civilian registry office in town of —- oblast under # —-.

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

Round official seal

Signature of the acting as Head of the Department of civilian registry office: signature —-