Municipal Form No. 97 (Form No.

13)
(Revised January 1993)

(To be accomplished in quadruplicate)

REMARKS/ANNOTATION

Republic of the Philippines

OFFICE OF THE CIVIL REGISTRAR GENERAL

CERTIFICATE OF MARRIAGE
Province _________________________________________
City/Municipality ___________________________________

Registry No.

(HUSBAND)
Name of Contracting
Parties

(first)

(middle initial)

(WIFE)
(last)

(first)

FOR OCRG USE ONLY:

(middle initial)

Population reference No.

(last)

(Husband)
(day)

(month)

(year)

(age)

(day)

(month)

(year)

(age)

Date of Birth/Age

(Wife)

Place of Birth
TO BE FILLED UP AT THE
OFFICE OF THE CIVIL
REGISTRAR

Sex (Male or
Female
80
Citizenship
Residence

87

Religion
Civil Status
(first)

(middle Initial)

(last)

(first)

(middle Initial)

88

90

92

93

(last)

Name of Father
Citizenship
(first)

(middle Initial)

(last)

(first)

(middle Initial)

(last)

Name of Mother
94
Citizenship
(first)

(middle Initial)

(last)

(first)

(middle Initial)

(last)

Persons who gave

consent or advice
Relationship

99

104

105

106

107

Residence

Place of Marriage

(Office of the/House of/Barangay of/Church of/Mosque of)

.

108

Address
Date:

..

Time:..

(day) (month) (year)

THIS IS TO CERTIFY: That I ..
and I, ...., both of legal age, of our own free will
and accord, and in the presence of the person solemnizing this marriage and of the witnesses named below, take each other as
husband and wife and certifying further that we:

113

have not entered into marriage settlement.

have entered into a marriage settlement, a copy of which is hereto attached.

119

IN WITNESS WHREOF, we signed/marked with our finger print, this certificate in quadruplicate this. day
of .. ,
.
(Signature of Husband)

(Signature of Wife)

THIS IS TO CERTIFY: THAT BEFORE ME, on the date and place above-written, personally appeared the aboveMentioned parties, with their mutual consent, lawfully joined together in marriage which was solemnized by me in the presence
of the witnesses named below, all of legal age.

Signature
Name in Print
Title or Position

I CERTIFY FURTHER THAT:

Marriage License No. . Issued on ..., at
.in favor of said parties, was exhibited to me.
No marriage license was necessary, the marriage being solemnized under Art of Executive
Order No. 209.
The marriage was solemnized in accordance with the provisions of Presidential Decree No. 1083
.
(Signature of Solemnizing Officer)
..
(Position/Designation)
...
(Religious Affiliation, Registry No. and Expiration Date, if applicable)
WITNESSES
(Print Name and Sign)

RECEIVED AT THE OFFICE OF

THE CIVIL REGISTRAR

Date Received

OATH OF SOLEMNIZING OFFICER

I, _______________________________________, solemnizing officer, do solemnly swear:

That I have ascertained the qualifications of the contracting parties and have found nolegal
impediment for them to marry as required by Art. 34 of the Family Code;
That this marriage was performed in articulo mortis;
That the residence of one or both of the contracting parties: barangay/barrio/sitio
____________________________(and) __________________________ is
so located that there is no means of transportation to enable the concerned party/parties
to appear personally before the civil registrar;
That the marriage was among Muslims or among members of the ethnic cultural communities,
provided the marriage was solemnized in accordance with their customs or practices;
And that I took the necessary steps to ascertain the ages and relationships of the contracting
Parties and that neither of them are under any legal impediment to marry each other.

Signature of Solemnizing Officer

SUBSCRIBED AND SWORN to before me this ________ day of _______________, ___________,

who exhibited to me his Community Tax No. _____________________________ issued on ___________________
at _________________________________________.

_____________________________________________________________

Signature over Printed Name of Administering Officer whose

Commission Expires on _____________________________
Doc. No. _____________________
Page No. _____________________
Book No. _____________________
Series of _____________________

NOTE In case of a marriage on the point of death, when the dying party, being physically unable, cannot sign
the Instrument by signature or mark, it shall be sufficient for one of the witnesses to the marriage to sign in his name,
which in fact shall be attested by the person solemnizing the marriage as follows:
I HEREBY CERTIFY that the contracting party ..
being on the point of death and physically unable to sign the foregoing marriage contract by signature or mark,
one of the witnesses to the marriage signed fro him or her by writing the dying partys name and beneath it, the
witness own signature preceded by the preposition By.

...
Signature and Printed Named of Solemnizing Officer