ANNEXURE 6

(Section 13 of Act No. 68 of 1997: Regulation 7)

MARRIAGE CERTIFICATE

PARTICULARS FROM THE POPULATION REGISTER IN RESPECT OF :

IDENTITY NUMBER HUSBAND:        ..............................................................................

SURNAME:                        ..............................................................................

FIRST NAMES:                        ..............................................................................

DATE OF BIRTH:                        ..............................................................................

IDENTITY NUMBER WIFE:        ..............................................................................

SURNAME:                        ..............................................................................

FIRST NAMES:                        ..............................................................................

DATE OF BIRTH:                        ..............................................................................

DATE OF MARRIAGE:                ..............................................................................

DATE ISSUED:                        ..............................................................................

OFFICE CODE/STAMP:        .        .............................................................................