MOLDAVIAN REPUBLIC

MARRIAGE CERTIFICATE

200...........
Personal identification number (IDNP)

Surname: ....
Name: ....
Born: ...
in: ....................
place of birth
200....
Personal identification number (IDNP)
Surname:
Name:
Born:
in: .....
place of birth

Concluded their marriage in year 2017, month January, day ... at .... (name of the civil registry
office)
Marriage act no.:
year
(name of the civil registry office)

Surname after marriage:

Husband:
Wife:
Issued on:
By (name of the civil registry office)
Office clerk: (surname and name), Signature – illegible
Stamp, series no