11018E (2018/02) © Queen's Printer for Ontario, 2018
Office of the
Registrar General
Marriage Licence Application
Marriage Act - Form 3
Marriage Licence No.
Applicant
Current last name
or single name
First and middle
names
Never married widowed divorced
Marital status
Country of divorce
City of divorce if in Canada
Court file number
If divorced
Religious
denomination
Age Date of birth (yyyy/mm/dd)
Age and date of
birth
Province (if outside Canada, state the country)
Place of birth
Last name or single name
First and middle names
Province (if outside Canada, state country)
Parent's name
and place of birth
Last name or single name
First and middle names
Province (if outside Canada, state country)
Parent's name
and place of birth
Last name or single name
First and middle names
Province (if outside Canada, state country)
Parent's name
and place of birth
Last name or single name
First and middle names
Province (if outside Canada, state country)
Parent's name
and place of birth
Street name and number Apt
City or town Province/Country
Postal code Telephone Number
Present address
or postal address
of applicants
Street name and number Apt
City or town Province/Country
Postal code Telephone Number
Permanent
address of
applicants if
different from
above
Joint Applicant
Never married widowed divorced
Country of divorce
City of divorce if in Canada
Court file number
Age Date of birth (yyyy/mm/dd)
Province (if outside Canada, state the country)
Last name or single name
First and middle names
Province (if outside Canada, state country)
Last name or single name
First and middle names
Province (if outside Canada, state country)
Last name or single name
First and middle names
Province (if outside Canada, state country)
Last name or single name
First and middle names
Province (if outside Canada, state country)
Street name and number Apt
City or town Province/Country
Postal code Telephone Number
Street name and number Apt
City or town Province/Country
Postal code Telephone Number
Intended place of marriage City, town, village County or district Intended date of marriage
I declare that the above information is correct.
Signature of Applicant
Date (yyyy/mm/dd)
I declare that the above information is correct.
Signature of Joint Applicant
Date (yyyy/mm/dd)
Personal Information contained on this form is collected under the authority of the Marriage Act, R.S.O. 1990, c. M. 3 and will be used to determine whether to issue
the marriage licence, to register and record the marriage, provide certified copies, extracts, certificates, search notices, photocopies and for statistical, research,
medical, law enforcement, adoption and adoption disclosure purposes. It is an offence to knowingly make a false statement on this form. Questions about this
collection should be directed to: the Deputy Registrar General, Office of the Registrar General, 189 Red River Road, PO Box 4600, Thunder Bay ON P7B 6L8.
Telephone: 1-800-461-2156 (outside Toronto but within North America) or 416-325-8305 (in Toronto or outside North America), 416-325-3408 (TTY/Teletypewriter).
