World Marriage Certificate
APPLICATION FORM FOR WSA'S WORLD MARRIAGE CERTIFICATE
(Only for persons 18 years or older)
Issued by WORLD SERVICE AUTHORITY WASHINGTON, D.C. 20005
Men and women of full age, without any limitations due to race, nationality or religion, have the right to marry and to found a family. They are entitled to equal rights as to marriage and at its dissolution." "Marriage shall be entered into only with the free and full consent of the intending spouses.
Article 16, 1 & 2, Universal Declaration of Human Rights
In conformity with the above article, we, the undersigned, do hereby declare our mutual consent as partners in marriage. We also state that we are registered citizens of the World Government of World Citizens. (If not yet registered, we have submitted our registration forms with this application. To obtain World Citizen registration forms, click here World Citizen Registration.)
(Please print or type)
Name (First, Middle, Last):_____________________________________
Date of Birth(Day, Month, Year):_______________________
Place of Birth:________________________________________
I swear and certify that the information above is true and correct.
DATA CONSENT: By signing below, the applicant gives explicit consent (opts in) to provide and share their personal information and data.
WC Reg. #_______________________
Signature________________________________
Address:
Street and number______________________________
City or Town___________________________________
State/Province/Region:_________________________
Postal Code:______________
Country:__________________
Name (First, Middle, Last):_____________________________________
Date of Birth(Day, Month, Year):_______________________
Place of Birth:________________________________________
I swear and certify that the information above is true and correct.
DATA CONSENT: By signing below, the applicant gives explicit consent (opts in) to provide and share their personal information and data.
WC Reg. #_______________________
Signature________________________________
Address:
Street and number______________________________
City or Town___________________________________
State/Province/Region:______________________________
Postal Code:______________
Country:__________________
CERTIFICATION OF SIGNATURES
On this ________day of_____________20_______, before me
came___________________________________________________
and____________________________________________________,
known to me and known by me to be the persons who executed the
foregoing application, and they thereupon duly acknowledged to me
that they executed the same. (Note: if no certifying official is available,
enclose photocopies of identity papers.)
_____________________________ Signature and Seal, Notary/Certifying Official
Issuing fee: US$75 plus $10 for shipping & handling - Please make out international check or money order in US Dollars to WORLD SERVICE AUTHORITY. You may also pay by credit card--please see form at the bottom of the application for the World Passport. (Click here to go to the credit card form.) Contact the WSA for alternative fee payment options. Send fee with completed form to:
World Service Authority *
5 Thomas Circle, NW *
Washington, D.C. 20005 *
Tel: (202) 638-2662 *
Fax: (202) 638-0638