QUEBEC DECLARATION OF MARRIAGE

Couples must arrange a personal meeting with Fr. Volodymyr (514-947-2235) to make arrangements prior to submitting this form.


DATE OF MARRIAGE : Year Month Day

Mailing address :

WIFE
Surname (according to act of birth):

Usual and other given names (according to act of birth):

Place of birth (parish, municipality, province or country):

Place where birth was registered:

Date of birth : Year Month Day

Marital Status (Single - never married, widowed, or divorced):

Date of spouse's death or divorce:

Domicile before marriage (municipality, province or country):

Maiden name and usual given name of mother (according to act of birth):

Surname and usual given name of father (according to act of birth):

Surname and usual given name of witnesses:

HUSBAND
Surname (according to act of birth):

Usual and other given names (according to act of birth):

Place of birth (parish, municipality, province or country):

Place where birth was registered:

Date of birth : Year Month Day

Marital Status (Single -never married, widowed, or divorced):

Date of spouse's death or divorce:

Domicile before marriage (municipality, province or country):

Maiden name and usual given name of mother (according to act of birth:

Surname and usual given name of father (according to act of birth):

Surname and usual given name of witnesses:


Additional information for Bureau de la statistique du Québec

WIFE
Mother tongue:

Number of years of schooling:

Phone Number - at home/ at work:

HUSBAND
Mother tongue:

Number of years of schooling:

Phone Number - at home/ at work:


Additional Information Required by the Ukrainian Orthodox Church of Canada

WIFE
Religious Denomination:

Date and Place of BAPTISM :

Profession: :

Place of Birth of Father :

Place of Birth of Mother:

Domicile of Witnesses (City) :


HUSBAND
Religious Denomination:

Date and Place of BAPTISM :

Profession: :

Place of Birth of Father :

Place of Birth of Mother :

Domicile of Witnesses (City) :