It is hereby affirmed and declared that the above-named person has and is not presently in any form of marital or civil union as of the date of this certificate.
I, the undersigned, hereby certify that the above information is true and correct to the best of my knowledge and legal authority.
[0001/2025] Date of Issue: [DD/MM/YYYY]
The information provided is based on the applicant’s sworn affidavit, supporting documents, and the absence of any marriage registration record in this jurisdiction.
This is to certify that , son/daughter of Mr. [Father’s Name] and Mrs. [Mother’s Name] , residing at [Complete Postal Address] , has been verified from the records of this office and from the affidavits submitted.