Government of Ontario: Ministry of Government Services
Office of the Registrar General

MARRIAGE LICENCE APPLICATION
Marriage Act - Form 3

APPLICANT


MARITAL STATUS



IF DIVORCED IN CANADA, please provide the court file number


AGE AND DATE OF BIRTH

DATE OF BIRTH


PLACE OF BIRTH

FATHER'S NAME (Last, First)


MOTHER'S MAIDEN NAME (Last name before marriage, First)


FATHER'S PLACE OF BIRTH

MOTHER'S PLACE OF BIRTH

PRESENT RESIDENCE OR POSTAL ADDRESS






PERMANENT HOME ADDRESS IF DIFFERENT FROM ABOVE






JOINT APPLICANT


MARITAL STATUS



IF DIVORCED IN CANADA, please provide the court file number


AGE AND DATE OF BIRTH

DATE OF BIRTH


PLACE OF BIRTH

FATHER'S NAME (Last, First)


MOTHER'S MAIDEN NAME (Last name before marriage, First)


FATHER'S PLACE OF BIRTH

MOTHER'S PLACE OF BIRTH

PRESENT RESIDENCE OR POSTAL ADDRESS






PERMANENT HOME ADDRESS IF DIFFERENT FROM ABOVE












I DECLARE THAT THE ABOVE INFORMATION IS CORRECT:

   

I DECLARE THAT THE ABOVE INFORMATION IS CORRECT:

   

Personal Information contained on this form is collected under the authority of the Marriage Act, R.S.O. 1990, c. M. 3 and will be used to determine whether to issue the marriage licence, to register and record the marriage, provide certified copies, extracts, certificates, search notices, photocopies and for statistical, research, medical, law enforcement, adoption and adoption disclosure purposes. Questions about this collection should be directed to:  The Deputy Registrar General, PO Box 4600 Thunder Bay ON  P7B 6L8. Telephone 1 800 461-2156 or 416 325-8305.