BOOKING APPLICATION FORM
 

1	GROOM
	Name
	Nationality
	Place and Date of Birth
	Religion
	Occupation
	Local Address (in Bali)
	Permanent Address
	Have/have not been marriage before
	Name of ex Wife (if any)
	Children from previous marriage (if any)
2	FATHER OF GROOM
	Name
	Age
	Religion
	Occupation
	Permanent Address
3	MOTHER OF GROOM
	Name
	Age
	Religion
	Occupation
	Permanent Address
4	BRIDE
	Name
	Nationality
	Place and Date of Birth
	Religion
	Occupation
	Local Address (in Bali)
	Permanent Address
	Have/have not been marriage before
	Name of ex Husband (if any)
	Children from previous marriage (if any)
5	FATHER OF BRIDE
	Name
	Age
	Religion
	Occupation
	Permanent Address
6	MOTHER OF BRIDE
	Name
	Age
	Religion
	Occupation
	Permanent Address
7	FIRST WITNESS
	Name
	Age
	Religion
	Occupation
	Permanent Address
8	SECOND WITNESS
	Name
	Age
	Religion
	Occupation
	Permanent Address
9	Your Contact Information
	Address (Optional)
	Phone/Fax
	* E-mail
	Comment (Optional)
PREFERRED PLACE & DATE OF WEDDING CEREMONY

 
 

REQUIRED DOCUMENT CHECK LIST		HIS	HER	WITNESS
1.	Photocopy of details page of passport
2.	Photocopy of Birth Certificate
3.	Photocopy of Divorce/Death Certificate (if applicable)
4.	Photocopy of Baptism Certificate (for Catholic only)
5.	Photograph of couple together (4x6 cm) 6pcs	( HIS & HER )

 

Note :

Additional items are required for Catholic couples, and this information will be given upon request