APPLICATION FOR A MARRIAGE CERTIFICATE
Isle of Wight Council iow logo
APPLICATION FOR A MARRIAGE CERTIFICATE
ISLE OF WIGHT REGISTER OFFICE,  Registrars Services, Seaclose Offices, Fairlee Road, Newport
Isle of Wight, PO30 2QS

(01983 821000)(email [email protected])

IMPORTANT
Please read the Customer Information which contains the terms and conditions

APPLICANT
Title
Forename

Middle name/Initials
Surname

APPLICANT ADDRESS DETAILS
Building/house name/number

Street address

Town Name

County
Country
Postcode

Home Tel Number

(include area code)


Mobile Tel Number
Email address

(We will contact you only if we have difficulty finding your requested entry)


FULL DETAILS OF THE CERTIFICATE YOU REQUIRE
Full name and surname of the people married
Man Surname



First name(s)
Woman Surname



First names(s)
Any other surname used by either party before this marriage
Date of marriage           year                    month                 day



Place of marriage (name of the church, register office or location)











COST
Please note that there will be a fixed postal cost of £1.00 added to each application submitted
, or, please include a stamped addressed envelope
Standard Certificate £10.00 No. of certificates required

(please check with the registrar on 01983 821000 if you are not sure)
METHODS OF PAYMENT
Cheques, postal orders should be made payable to �IWC�. Do not send Cash. Please enclose a stamped addressed envelope with applications. The Isle of Wight Register Office aim to return applications within two working days. If we have a problem with your application we will always try to ring you in the first instance.


APPLICANT TO COMPLETE

I enclose a cheque/postal order made payable to �IWC� to the value of �����


��������������������.(signature of applicant
Data Protection Act 1998
padlock

This application may be monitored by the Isle of Wight Council for regulatory, quality control or crime detection purposes. Information from this application will be processed in accordance with the Data Protection Act 1998 for the purpose of processing your particular enquiry/request. The Isle of Wight Council ("the Council") is the data controller. By completing this form you consent to the Council contacting you by email or nominated contact method in relation to your enquiry/request.

The information contained in this application may, in exceptional circumstances, be subject to disclosure to third parties under either the Data Protection Act 1998 or the Freedom of Information Act 2000 to the extent the law allows and in accordance with the Isle of Wight Council's Access to Information Policy. Disclosure will only be made where in all the circumstances it would be fair to do so and in the public interest.

Please note that the Council may process your information in the absence of consent for the purpose of crime prevention or detection so far as is in accordance with the law.
Sometimes we may use your information to keep you informed about services, goods or relevant issues that we believe may be of interest to you. If you wish to receive this information for these purposes please tick this box




To improve the quality of other services that we provide to you the Council wishes to hold your non-sensitive personal information on a secure central database. This will enable all Council services to use this information when they are providing a service to/for you. If you wish your non-sensitive personal information to be held by the Council please tick this box



ProductCostVAT codeGL Code
Registration Service postage£1.00AE25000723001
Marriage Certificate (Standard)£10.00AN25000732201

Date printed: 07/03/2013