Marriage (Forms) Regulations 1995

Reprint
as at 16 August 2013

Coat of Arms of New Zealand

Marriage (Forms) Regulations 1995

(SR 1995/184)

Catherine A Tizard, Governor-General

Order in Council

At Wellington this 4th day of September 1995

Present:
Her Excellency the Governor-General in Council


Note

Changes authorised by section 17C of the Acts and Regulations Publication Act 1989 have been made in this reprint.

A general outline of these changes is set out in the notes at the end of this reprint, together with other explanatory material about this reprint.

These regulations are administered by the Ministry of Justice.


Pursuant to section 64 of the Marriage Act 1955 and (in relation only to regulation 3(d) and form 4) section 88(1)(b) of the Births, Deaths, and Marriages Registration Act 1995, Her Excellency the Governor-General, acting by and with the advice and consent of the Executive Council, hereby makes the following regulations.

Regulations

1 Title and commencement
  • (1) These regulations may be cited as the Marriage (Forms) Regulations 1995.

    (2) These regulations shall come into force on the day after the date of their notification in the Gazette.

2 Interpretation
  • In these regulations, unless the context otherwise requires,—

    • (b) reference to a form of a particular number is a reference to the form bearing that number set out in the Schedule.

3 Forms
  • There are hereby prescribed—

    • (a) subject to paragraphs (ab) and (b), for a notice of intended marriage under section 23(1) of the Act, form 1:

    • (ab) for a notice of intended marriage under section 23(1) of the Act where the parties are currently in a civil union with each other and wish to change the form of their relationship into marriage under section 18 of the Civil Union Act 2004, form 1A:

    • (b) for a notice of intended marriage under section 23(1) where the parties to the marriage (whether bride, bridegroom, or partner) are ordinarily resident outside New Zealand, form 2:

    • (d) subject to paragraph (da), for a form to be issued under section 24(1)(b) of the Act by a Registrar for the purpose of returning (under section 56(1)(a) of the Births, Deaths, Marriages, and Relationships Registration Act 1995) information relating to marriages solemnised by marriage celebrants, exempt religious bodies, or under section 32 of the Act, form 4:

    • (da) for a form to be issued under section 24(1)(b) of the Act by a Registrar for the purpose of returning (under section 56(1)(a) of the Births, Deaths, Marriages, and Relationships Registration Act 1995) information relating to marriages solemnised by marriage celebrants, exempt religious bodies, or under section 32 of the Act, which are a change in the form of relationship from civil union, form 4A:

    • (e) for an application under section 41 by a person who intends to marry outside New Zealand for a certificate of no impediment, form 5:

    • (f) [Revoked]

    • (g) for a notice to a Registrar under section 42(1) of the Act from a citizen of a Commonwealth country or the Republic of Ireland resident in New Zealand who desires to marry outside New Zealand, form 7:

    • (h) for a certificate issued by a Registrar under subsection (5) of section 42 of the Act that notice of an intended marriage has been given under subsection (1) of that section, form 8:

    • (i) for a certificate from a New Zealand representative under section 43(1) of the Act that the representative has attended the marriage of a New Zealand citizen in a country other than New Zealand and is satisfied that the marriage has been solemnised in accordance with the formalities of the law of that other country, form 9.

    Regulation 3(a): amended, on 26 April 2005, by regulation 3(1) of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

    Regulation 3(ab): inserted, on 26 April 2005, by regulation 3(2) of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

    Regulation 3(b): amended, on 16 August 2013, by regulation 4 of the Marriage (Forms) Amendment Regulations 2013 (SR 2013/294).

    Regulation 3(d): substituted, on 26 April 2005, by regulation 3(3) of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

    Regulation 3(d): amended, on 24 January 2009, by section 49(2) of the Births, Deaths, Marriages, and Relationships Registration Amendment Act 2008 (2008 No 48).

    Regulation 3(da): inserted, on 26 April 2005, by regulation 3(3) of the Marriage (Forms) Amendment Regulations 2005 (SR 2005/84).

    Regulation 3(da): amended, on 24 January 2009, by section 49(2) of the Births, Deaths, Marriages, and Relationships Registration Amendment Act 2008 (2008 No 48).

    Regulation 3(e): replaced, on 25 February 2012, by section 5(2) of the Marriage Amendment Act 2012 (2012 No 13).

    Regulation 3(f): revoked, on 25 February 2012, by section 5(3) of the Marriage Amendment Act 2012 (2012 No 13).

4 Consequential revocations
  • The following regulations are hereby consequentially revoked:

    • (a) Marriage Regulations 1977:

    • (b) Marriage Regulations 1977, Amendment No 2:

    • (c) Marriage Regulations 1977, Amendment No 5.


Schedule
Forms

Form 1
Notice of intended marriage

r 3(a)

Section 23(1), Marriage Act 1955

[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 in      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     
  Full name of marriage celebrant
(not required if marriage to be performed by Registrar)
Denomination or organisation 
         
  by     
         

     Parties to marriage  
 Heading for copy of particulars and certificates/printouts for this marriage BrideBridegroomPartner BrideBridegroomPartner 
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)
     
 Sex     
Full date 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:
 Never been married or in a civil unionMarriageCivil union Never been married or in a civil unionMarriageCivil union 
 (1) how did that relationship end? By dissolution/ divorce  Death of
spouse/ partner
 By dissolution/ divorce  Death of
spouse/ partner
 
 (2) when did that relationship end? [date] [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)
     
    Parents  
 MotherFather   MotherFather   
First or given name(s)
Surname or family name
     
Surname or family name at birth
(if different from above)
     
  MotherFatherOther parent MotherFatherOther parent 
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— 1that the information provided in this notice is true; and
  2that I believe that the marriage is not prohibited by section 15 of the Marriage Act 1955; and
†Delete paragraph 3 if not applicable. †3that, [name] being under the age of 18 years, the consents required by law to the intended marriage have been given; and
  4that 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: replaced, on 16 August 2013, by regulation 5 of the Marriage (Forms) Amendment Regulations 2013 (SR 2013/294).

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

r 3(ab)

Section 23(1), Marriage Act 1955 and section 18, Civil Union Act 2004

[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 in      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     
  Full name of marriage celebrant
(not required if marriage to be performed by Registrar)
Denomination or organisation 
         
  by      
         
   Parties to marriage 
 Heading for copy of particulars and certificates/printouts for this marriage BrideBridegroomPartner BrideBridegroomPartner 
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)
     
 Sex     
Full date 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)
     
   Parents 
   MotherFather  MotherFather  
First or given name(s)
Surname or family name
     
Surname or family name at birth
(if different from above)
     
   MotherFatherOther parent MotherFatherOther parent 
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— 1that the information provided in this notice is true; and
  2that I believe that the marriage is not prohibited by section 15 of the Marriage Act 1955; and
†Delete paragraph 3 if not applicable. †3that, [name] being under the age of 18 years, the consents required by law to the intended marriage have been given; and
  4that there is no lawful impediment to the intended marriage; and
  5that 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: replaced, on 16 August 2013, by regulation 5 of the Marriage (Forms) Amendment Regulations 2013 (SR 2013/294).

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

r 3(b)

Section 23(1), Marriage Act 1955

[Please print or write clearly.] 
        
To the Registrar of Marriages in      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     
  Full name of marriage celebrant
(not required if marriage to be performed by Registrar)
Denomination or organisation 
         
  by   
         
   Parties to marriage 
Heading for copy of particulars and certificates/printouts for this marriage BrideBridegroomPartner BrideBridegroomPartner 
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)
     
 Sex     
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:
 Never been married or in a civil unionMarriageCivil union Never been married or in a civil unionMarriageCivil union  
 (1) how did that relationship end? By dissolution/ divorce Death of spouse/ partner By dissolution/ divorce Death of spouse/ partner  
 (2) when did that relationship end? [date] [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)
     
   Parents 
   MotherFather   MotherFather   
First or given name(s)
Surname or family name
     
Surname or family name at birth
(if different from above)
     
   MotherFatherOther parent MotherFatherOther parent 
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— 1that the information provided in this notice is true; and
   2that I believe that the marriage is not prohibited by Section 15 of the Marriage Act 1955; and
†Delete paragraph 3 if not applicable. †3that, [name] being under the age of 18 years, the consents required by law to the intended marriage have been given; and
   4that 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: replaced, on 16 August 2013, by regulation 5 of the Marriage (Forms) Amendment Regulations 2013 (SR 2013/294).

Form 3
Marriage licence

r 3(c)

Section 24(1)(a), Marriage Act 1955

    
  Marriage licence 
          
Registry     Notice No  
          
To         
This licence authorises you (or any other marriage celebrant) to solemnise the marriage between: 
          
          
  [Bride or bridegroom or partner]     
and         
  [Bride or bridegroom or partner]     
at either of the following places, namely     
          
          
          
or at         
  Date of expiry     
          
on or before         
          
Issued at         
          
on         
  Date     Signature of Registrar of Marriages: 
  • Schedule form 3: replaced, on 16 August 2013, by regulation 5 of the Marriage (Forms) Amendment Regulations 2013 (SR 2013/294).

Form 4
Copy of particulars of marriage

r 3(d)

Section 24(1)(b), Marriage Act 1955

[Please print or write clearly.] [To be sent to the Registrar who issued the marriage licence within 10 days of solemnisation.] 
        
 Registry      Notice No: 
         
   Particulars of parties to marriage 
   [Bride or bridegroom or partner] [Bride or bridegroom or partner] 
 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)
     
 Sex     
 Full date and year of birth     
 Place of birth     
 Usual occupation, profession, or job     
 Relationship status     
 Usual residential address in full     
   Parents 
   [Mother or father] [Mother or father] 
  First or given name(s)
Surname or family name
     
 Surname or family name at birth
(if different from above)
     
   [Mother or father or other parent] [Mother or father or other parent] 
  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:andSignature: 
      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:    
   Name of marriage celebrant or Registrar of Marriages 
         
 [Please see notes on reverse side.]    Denomination or name of organisation 
         
    Registration number of independent marriage celebrant 
         
  • Schedule form 4: replaced, on 16 August 2013, by regulation 5 of the Marriage (Forms) Amendment Regulations 2013 (SR 2013/294).

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

r 3(da)

Section 24(1)(b), Marriage Act 1955 and section 18, Civil Union Act 2004

[Please print or write clearly.] [To be sent to the Registrar who issued the marriage licence within 10 days of solemnisation.] 
        
 Registry      Notice No: 
         
   Particulars of parties to marriage 
   [Bride or bridegroom or partner] [Bride or bridegroom or partner] 
 First or given names(s)
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)
     
 Sex     
 Full date and year of birth     
 Place of birth     
 Usual occupation, profession, or job     
 Usual residential address in full     
   Parents 
   [Mother or father] [Mother or father] 
  First or given name(s)
Surname or family name
     
 Surname or family name at birth
(if different from above)
     
   [Mother or father or other parent]  [Mother or father or other parent] 
  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:andSignature: 
      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:    
   Name of marriage celebrant or Registrar of Marriages 
         
 [Please see notes on reverse side.]    Denomination or organisation, if applicable 
         
    Registration number of independent marriage celebrant 
         
  • Schedule form 4A: replaced, on 16 August 2013, by regulation 5 of the Marriage (Forms) Amendment Regulations 2013 (SR 2013/294).

Form 5
Application for certificate of no impediment

r 3(e)

Section 41, Marriage Act 1955

To the Registrar-General

  • 1 I, [full name], at present residing at [place], intend to marry [full name], a national or citizen of [country of nationality of partner], in [country of intended marriage].

  • 2 I apply for a certificate of no impediment to my intended marriage.

  • 3 My details are—

    Name at birth (if different from above):

    Date of birth:

    Place of birth:

    Full name of mother/father*:

    Mother's/father's* full name at birth:

    Full name of mother/father/other parent*:

    Mother's/father's/other parent's* full name at birth:

    *Select one.
Select any of paragraphs 4 to 6 that apply.
  • 4 I have previously been married—

    Date of previous marriage:

    Place of previous marriage:

    How marriage ended:

    Date and place of dissolution/divorce (if applicable):

  • 5 I have previously been in a civil union—

    Date of previous civil union:

    Place of previous civil union:

    How civil union ended:

    Date and place of dissolution (if applicable):

  • 6 For this paragraph select the statement that applies.

    Statement A

    My mother/father/parents* live in New Zealand.

    My mother's/father's/parents'* address is:

    *Select one.

    Statement B

    Neither of my parents lives in New Zealand.

    The name and address of a relative/friend* in New Zealand who has known me over a period of time is:

    *Select one.

Date:

Signature of applicant:

  • Schedule form 5: replaced, on 16 August 2013, by regulation 5 of the Marriage (Forms) Amendment Regulations 2013 (SR 2013/294).

Form 6
Certificate of no impediment to marriage

r 3(f)

[Revoked]

  • Schedule form 6: revoked, on 25 February 2012, by section 5(4)(b) of the Marriage Amendment Act 2012 (2012 No 13).

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:
 MarriageCivil unionNever been married or in a civil union MarriageCivil unionNever 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] [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— 1that the information provided in this notice is true; and
   2that I believe that the marriage is not prohibited by section 15 of the Marriage Act 1955; and
*Delete paragraph 3 if not applicable. *3that [name] being under the age of 20 years, the consents required by law to the intended marriage have been given; and
   4that 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).

Form 8
Certificate that notice has been given of marriage intended to be solemnised out of New Zealand

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

r 3(i)

Section 43, Marriage Act 1955

[Please print or write clearly.]   
   Parties to marriage 
   [Bride or bridegroom or partner] [Bride or bridegroom or partner] 
 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)
     
 Sex     
 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:
 Never been married or in a civil unionMarriageCivil union Never been married or in a civil unionMarriageCivil union  
(1) how did that relationship end?By dissolution/ divorce  Death of
spouse/ partner
By dissolution/ divorce Death of
spouse/partner
 (2) when did that relationship end? [date] [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)
     
   Parents 
   [Mother or father] [Mother or father] 
  First or given name(s)
Surname or family name
     
 Surname or family name at birth
(if different from above)
     
   [Mother or father or other parent] [Mother or father or other parent] 
  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 [name of person] is a New Zealand citizen/both parties to the marriage are New Zealand citizens*. I am satisfied that the marriage was solemnised in accordance with the formalities of the law of [name of country].
 *Select one       
Issued at [place, date].     
Signature of New Zealand representative: 
Print full name of New Zealand representative:
         
  • Schedule form 9: replaced, on 16 August 2013, by regulation 5 of the Marriage (Forms) Amendment Regulations 2013 (SR 2013/294).

Marie Shroff,
Clerk of the Executive Council.


Issued under the authority of the Acts and Regulations Publication Act 1989.

Date of notification in Gazette: 7 September 1995.


Reprints notes
1 General
  • This is a reprint of the Marriage (Forms) Regulations 1995 that incorporates all the amendments to those regulations as at the date of the last amendment to them.

2 Legal status
  • Reprints are presumed to correctly state, as at the date of the reprint, the law enacted by the principal enactment and by any amendments to that enactment. Section 18 of the Legislation Act 2012 provides that this reprint, published in electronic form, will have the status of an official version once issued by the Chief Parliamentary Counsel under section 17(1) of that Act.

3 Editorial and format changes
4 Amendments incorporated in this reprint