Marriage (Forms) Regulations 1995 (SR 1995/184) (as at 24 January 2009)

Form 1
Notice of intended marriage

[Please print or write clearly.]		[Important: One of the parties must deliver the notice personally to the Registrar of Marriages and make the required statutory declaration. Please produce evidence, if available, of the dissolution of the most recent marriage or civil union of each of the parties, if any. At least 3 days’ notice of intended marriage is required.]

To the Registrar of Marriages			Notice No:
		Full address of place where marriage is to be solemnised and any alternative address below
Notice is given that the parties named below intend to marry at either

	or at
		Date or approximate date of marriage
*A marriage licence is valid for 3 months only.	*on
*A marriage licence is valid for 3 months only.			Full name of marriage celebrant (not required if marriage to be performed by Registrar)	Denomination or organisation

	by

Bride

Bridegroom

Current first or given name(s)
Current surname or family name

First or given name(s) at birth
(if different from above)
Surname or family name at birth
(if different from above)

Full date and year of birth

Place of birth

Usual occupation, profession, or job

What was your last relationship (if any)?
If previously married or in a civil union:

○

Marriage

○

Civil union

○

Never been married or in a civil union

○

Marriage

○

Civil union

○

Never been married or in a civil union

(1) how did that relationship end?

○

By dissolution / divorce order

○

Death of
spouse / partner

○

By dissolution / divorce order

○

Death of
spouse / partner

(2) when did that relationship end?

[date]

Usual residential address in full including—
• flat number (if applicable)
• street number and name
• suburb or rural locality
• city, town, or district
• country (if not New Zealand)

Mother: First or given name(s)
Surname or family name

Surname or family name at birth
(if different from above)

Father: First or given name(s)
Surname or family name

Surname or family name at birth
(if different from above)

	Statutory declaration [The portion of form below to be completed in front of the Registrar.]
I solemnly and sincerely declare—	1	that the information provided in this notice is true; and
	2	that I believe that the marriage is not prohibited by section 15 of the Marriage Act 1955; and
†Delete paragraph 3 if not applicable.	†3	that [name] being under the age of 18 years, the consents required by law to the intended marriage have been given; and
	4	that there is no lawful impediment to the intended marriage.
And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957.
Important Section 15 of the Marriage Act 1955 referred to in the statutory declaration and Schedule 2 of that Act setting out forbidden marriages are printed on the back of this form.	Declared at: [place, date]. Signature of party giving notice: Print full name of party giving notice:		Signature of Registrar of Marriages: Print full name of Registrar of Marriages:

Schedule form 1: substituted, on 26 April 2005, by regulation 4 of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

Form 1A
Notice of intended marriage: Change of relationship from civil union

[Please print or write clearly.]		[Important: One of the parties must deliver the notice personally to the Registrar of Marriages and make the required statutory declaration. Please produce evidence of current civil union. At least 3 days’ notice of intended marriage is required.]

To the Registrar of Marriages			Notice No:
		Full address of place where marriage is to be solemnised and any alternative address below
Notice is given that the parties named below intend to marry at either

	or at
		Date or approximate date of marriage
*A marriage licence is valid for 3 months only.	*on
*A marriage licence is valid for 3 months only.			Full name of marriage celebrant (not required if marriage to be performed by Registrar)	Denomination or organisation

	by


	Bride	Bridegroom
Current first or given names(s) Current surname or family name
First or given name(s) at birth (if different from above) Surname or family name at birth (if different from above)
Full date and year of birth
Place of birth
Usual occupation, profession, or job
Usual residential address in full including— • flat number (if applicable) • street number and name • suburb or rural locality • city, town, or district • country (if not New Zealand)
Mother: First or given name(s) Surname or family name
Surname or family name at birth (if different from above)
Father: First or given name(s) Surname or family name
Surname or family name at birth (if different from above)

	Change of relationship from civil union
Date of civil union
Place of civil union
Country (if not New Zealand) (Note: only some types of overseas relationships are recognised as civil unions in New Zealand)

	Statutory declaration [The portion of form below to be completed in front of the Registrar.]
I solemnly and sincerely declare—	1	that the information provided in this notice is true; and
	2	that I believe that the marriage is not prohibited by section 15 of the Marriage Act 1955; and
†Delete paragraph 3 if not applicable.	†3	that [name] being under the age of 18 years, the consents required by law to the intended marriage have been given; and
	4	that there is no lawful impediment to the intended marriage; and
	5	that the above parties are in a civil union with each other and wish to change the form of relationship from a civil union to a marriage.
And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957.
Important Section 15 of the Marriage Act 1955 referred to in the statutory declaration and Schedule 2 of that Act setting out forbidden marriages are printed on the back of this form.	Declared at: [place, date]. Signature of party giving notice: Print full name of party giving notice:		Signature of Registrar of Marriages: Print full name of Registrar of Marriages:

Schedule form 1A: inserted, on 26 April 2005, by regulation 4 of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

Form 2
Notice of intended marriage: Where both parties ordinarily resident outside New Zealand

[Please print or write clearly.]

To the Registrar of Marriages			Notice No:
		Full address of place where marriage is to be solemnised and any alternative address below
Notice is given that the parties named below intend to marry at either

	or at
		Date or approximate date of marriage
*A marriage licence is valid for 3 months only.	*on
*A marriage licence is valid for 3 months only.			Full name of marriage celebrant (not required if marriage to be performed by Registrar)	Denomination or organisation

	by

Bride

Bridegroom

Current first or given name(s)
Current surname or family name

First or given name(s) at birth
(if different from above)
Surname or family name at birth
(if different from above)

Full date and year of birth

Place of birth

Usual occupation, profession, or job

What was your last relationship (if any)?
If previously married or in a civil union:

○

Marriage

○

Civil union

○

Never been married or in a civil union

○

Marriage

○

Civil union

○

Never been married or in a civil union

(1) how did that relationship end?

○

By dissolution / divorce order

○

Death of spouse / partner

○

By dissolution / divorce order

○

Death of spouse / partner

(2) when did that relationship end?

[date]

Usual residential address in full including—
• flat number (if applicable)
• street number and name
• suburb or rural locality
• city, town, or district
• country (if not New Zealand)

Mother: First or given name(s)
Surname or family name

Surname or family name at birth
(if different from above)

Father: First or given name(s)
Surname or family name

Surname or family name at birth
(if different from above)

I intend to appear in person at the office of the Registrar to whom this notice is sent to collect a marriage licence on

[date]

		Statutory declaration [The portion of form below to be completed in front of the Registrar or Commonwealth representative.]
I solemnly and sincerely declare—		1	that the information provided in this notice is true; and
		2	that I believe that the marriage is not prohibited by section 15 of the Marriage Act 1955; and
†Delete paragraph 3 if not applicable.		†3	that [name] being under the age of 18 years, the consents required by law to the intended marriage have been given; and
		4	that there is no lawful impediment to the intended marriage.
‡And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957.
‡Declaration may be made either—		Declared at: [place, date].
(a)	when notice sent to Registrar of Marriages from overseas; or
(b)	when party attends an office of a Registrar of Marriages to collect marriage licence.	Signature of party giving notice:		Signature of (cross out one): Commonwealth representative: (if declaration made before party’s arrival in New Zealand) Registrar of Marriages: (if declaration made after party’s arrival in New Zealand)
		Print full name of party giving notice:		Print full name of Commonwealth representative or Registrar of Marriages:

Schedule form 2: substituted, on 26 April 2005, by regulation 4 of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

r 3(c)


	Marriage licence

Registry			Notice No

To
This licence authorises you (or any other Marriage Celebrant) to solemnise the marriage between:


	Full name of Bride
and
	Full name of Bridegroom
at either of the following places namely



or at
	Date of expiry

on or before

Issued at

This		day of
			year	Signature of Registrar of Marriages:

Form 4
Copy of particulars of marriage

[Please print or write clearly.]		[To be sent to the Registrar who issued the marriage licence within 10 days of solemnisation.]

	Registry		Notice No:


	Bride	Bridegroom
Current first or given names(s) Current surname or family name
First or given name(s) at birth (if different from above) Surname or family name at birth (if different from above)
Full date and year of birth
Place of birth
Usual occupation, profession, or job
Relationship status
Usual residential address in full including— • flat number (if applicable) • street number and name • suburb or rural locality • city, town, or district • country (if not New Zealand)
Mother: First or given name(s) Surname or family name
Surname or family name at birth (if different from above)
Father: First or given name(s) Surname or family name
Surname or family name at birth (if different from above)


		Date of marriage
The marriage was solemnised on
		Full description of where marriage was solemnised and full address

	at


	Between us	Signature of bride:	and	Signature of bridegroom:
				Full residential address of witness
	In the presence of	Signature of witness:
		Name of witness:

				Full residential address of witness
		Signature of witness:
		Name of witness:

	I certify that the marriage of the parties named above was solemnised in my presence	Signature of marriage celebrant or Registrar of Marriages:
		Signature of marriage celebrant or Registrar of Marriages:			Name of marriage celebrant or Registrar of Marriages

	[Please see notes on reverse side.]			Denomination or name of organisation

	THIS COPY TO BE RETURNED TO THE REGISTRAR			Registration number of marriage celebrant

Schedule form 4: substituted, on 26 April 2005, by regulation 4 of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

Form 4A
Copy of particulars of marriage: Change of relationship from civil union

[Please print or write clearly.]		[To be sent to the Registrar who issued the marriage licence within 10 days of solemnisation.]

	Registry		Notice No:


	Bride	Bridegroom
Current first or given names(s) Current surname or family name
First or given name(s) at birth (if different from above) Surname or family name at birth (if different from above)
Full date and year of birth
Place of birth
Usual occupation, profession, or job
Usual residential address in full including— • flat number (if applicable) • street number and name • suburb or rural locality • city, town, or district • country (if not New Zealand)
Mother: First or given name(s) Surname or family name
Surname or family name at birth (if different from above)
Father: First or given name(s) Surname or family name
Surname or family name at birth (if different from above)


		Change of relationship from civil union
	Date of civil union
	Place of civil union
	Country, if not New Zealand
		Date of marriage
The marriage was solemnised on
		Full description of where marriage was solemnised and full address

	at


	Between us	Signature of bride:	and	Signature of bridegroom:
				Full residential address of witness
	In the presence of	Signature of witness:
		Name of witness:

				Full residential address of witness
		Signature of witness:
		Name of witness:

	I certify that the marriage of the parties named above was solmenised in my presence	Signature of marriage celebrant or Registrar of Marriages:
		Signature of marriage celebrant or Registrar of Marriages:			Name of marriage celebrant or Registrar of Marriages

	[Please see notes on reverse side.]			Denomination or name of organisation

	THIS COPY TO BE RETURNED TO THE REGISTRAR			Registration number of marriage celebrant

Schedule form 4A: inserted, on 26 April 2005, by regulation 4 of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

Form 5
Notice of intended marriage of New Zealand citizen in another country

Section 41, Marriage Act 1955

Notice No:

[Please print clearly.]

To the Registrar-General,

PO Box 10 526

WELLINGTON

I give notice that I, [name] a New Zealand citizen, at present residing at [place] intend to marry [name] a national or citizen of [country of nationality of partner] in [country of intended marriage].

The following particulars are provided to enable searches and inquiries to be made in order to check whether or not there is an impediment to the intended marriage:

(1) date and year of birth:

(2) place of birth:

(3) father’s first/given names and surname/family name:

(4) father’s surname/family name at birth (if different from above):

(5) mother’s first/given names and surname/family name:

(6) mother’s surname/family name at birth (if different from above):

(7) if previously married or in a civil union—
- (a) date of former marriage/civil union:
- (b) place of former marriage/civil union:
- (c) how and when previous marriage/civil union was dissolved:

(8) if not born in New Zealand—
- (a) how and when citizenship acquired:
- (b) year of arrival in New Zealand:

(9) address of parents, if living in New Zealand:

(10) name and address of a relative or friend in New Zealand who has known me over a period of time [to be completed if no parent living in New Zealand]:

Signature of person giving notice:

Print full name of person giving notice:

[Please see notes on reverse of this form.]

In the course of inquiries, persons named on this form may be contacted.

Schedule form 5: substituted, on 26 April 2005, by regulation 4 of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

r 3(f)

Notice No:

Whereas notice has been given to me that AB, a New Zealand citizen at present residing at [specify], intends to marry CD, a national or citizen of [name of country], in [name of country].

And whereas such searches and inquiries have been made and such notices have been given as are prescribed by law, I certify that no lawful impediment to the marriage has been shown to me to exist.

Issued at Wellington, New Zealand, this [date]

Registrar-General:

Form 7
Notice of intended marriage outside New Zealand

[Please print or write clearly.]

To the Registrar of Marriages		Notice No:

Notice is given that the parties named below intend to marry in
	[name of country]

Bride

Bridegroom

First or given name(s)

First or given name(s) at birth
(if different from above)

Surname or family name

Surname or family name at birth
(if different from above)

Full date and year of birth

Place of birth

Usual occupation, profession, or job

What was your last relationship (if any)?
If previously married or in a civil union:

○

Marriage

○

Civil union

○

Never been married or in a civil union

○

Marriage

○

Civil union

○

Never been married or in a civil union

(1) how did that relationship end?

○

By dissolution / divorce order

○

Death of spouse / partner

○

By dissolution / divorce order

○

Death of spouse / partner

(2) when did that relationship end?

[date]

Usual residential address in full including—
• flat number (if applicable)
• street number and name
• suburb or rural locality
• city, town, or district
• country (if not New Zealand)

Length of residence in New Zealand

Father: First or given name(s)
Surname or family name

Surname or family name at birth
(if different from above)

Mother: First or given name(s)
Surname or family name

Surname or family name at birth
(if different from above)

	Statutory declaration
I solemnly and sincerely declare—	1	that the information provided in this notice is true; and
	2	that I believe that the marriage is not prohibited by section 15 of the Marriage Act 1955; and
*Delete paragraph 3 if not applicable.	*3	that [name] being under the age of 20 years, the consents required by law to the intended marriage have been given; and
	4	that there is no lawful impediment to the intended marriage.
And I make this solemn declaration conscientiously believing the same to be true and by virtue of the Oaths and Declarations Act 1957.
	Declared at [place, date].
	Signature of party giving notice:		Signature of Registrar of Marriages:
	Print full name of party giving notice:		Print full name of Registrar of Marriages:

Schedule form 7: substituted, on 26 April 2005, by regulation 4 of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

r 3(h)

Notice No:

Registry:

I, [specify] Registrar of Marriages at [specify], certify that on [date], [full name of person giving notice] of [address], [occupation] gave notice to me of intended marriage with [full name of other party], of [address], in [name of country], and I further certify that all the provisions of the Marriage Act 1955 with respect to the issue of this certificate have been complied with.

Issued at: [place, date]

Registrar of Marriages:

Form 9
Certificate of marriage outside New Zealand

[Please print or write clearly.]


	Bride	Bridegroom
Current first or given names(s) Current surname or family name
First or given name(s) at birth (if different from above) Surname or family name at birth (if different from above)
Full date and year of birth
Place of birth
Usual occupation, profession, or job
Relationship status
Usual residential address in full including— • flat number (if applicable) • street number and name • suburb or rural locality • city, town, or district • country (if not New Zealand)
Mother: First or given name(s) Surname or family name
Surname or family name at birth (if different from above)
Father: First or given name(s) Surname or family name
Surname or family name at birth (if different from above)


		Full date of marriage
The marriage was solemnised on
		Full description of where marriage was solemnised and full address

	at


I certify that I attended the marriage of the parties named above and that [show whether bride and/or groom] is a New Zealand citizen/are New Zealand citizens. I am satisfied that the marriage was solemnised in accordance with the formalities of the law of [name of country].
Issued at [place, date].
Signature of New Zealand representative:
Print full name of New Zealand representative:

Schedule form 9: substituted, on 26 April 2005, by regulation 4 of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

New Zealand Legislation: Regulations

Home | Search: Acts Bills Regulations All | Browse: Acts Bills Regulations All | Web feeds | Glossary | About | Guide | Site map | Buy Online