PROVINCE REPUBLIQUE DU CAMEROUN

PROVINCE Paix – Travail – Patrie

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REPUBLIC OF CAMEROON
DEPARTEMENT Peace – Work – Fatherland
DIVISION
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ARRONDISSEMENT
SUBDIVISION
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CENTRE D’ETAT CIVIL

CIVIL STATUS REGISTRATION CENTRE
de – of …………………………………………………………………………………………………………

ACTE DE MARIAGE N°……………………………….

MARRIAGE CERTIFICATE -----------------------------------------------------------------------

Mariage de – Marriage of………………………………………………………………………………………….

Et de – And of …………………………………………………………………………………………………..
.
Le – On the ……………………………………………………………………………………………………
Est né à ……… ……………………………………………………………………………………………….
Was born at .
Nom de l’enfant …………………………………………………………………………………………
Name of the child …
De sexe – Sex ……………………………………………………………………………………………
De - of ………… ……………………………………………………………………………………………….
…
Né à – Born at ………… . ……………………………………………………………………………………
Domicilié à …
……………………………………………………………………………………………………
Resident at
Profession - Occ upation
………………………………………………………………………………
Et de – And of …………
……………………………………………………………………………………
…
Née à – Born at …
……………………………………………………………………………………………
Le – On the …
……………………………………………………………………………………………………
Domicilié à ……………………………………………………………………………………………………
Resident at
Profession - Occ upation
………………………………………………………………………………
Dressé le ………………………………………………………………………………………………………
…
Drawn up on the
Sur la declaratio n de
In the accordance with the declaration of…………………………………………………………………………………
…………………………………………………………………………………………………………………………
…
…………………………………………………………………………………………………………………………
Lesquels ont certifié la sincérité de la présente déclaration,
Who attested to the truth of this declaration,
Par Nous, ………………………………………………………………………………………………………
By Us,
………………………………………………………………………………………………………………………….
Le déclarant, Signature de l’Officier d’Etat
The Declarant, Signature
Civil : of Registrar: