State of Israel – Ministry of Religious Affairs
Marriage Certificate number _______
Personal Information
The Couple
Last Name
First names
Ethnic (religious) group
Birth date
Current Occupation
Place of Residence prior to
marriage
Identity Number
The Parents
Last Name and First Names
of the Father
Last Name and First Names
of the Mother
Place of Residence of the
Father
Place of Residence of the
Mother
Occupation of the Father
Occupation of the Mother
The Witnesses
Last Name and First Names
Occupation
The Husband
The Wife
I hereby confirm, that the marriage of the couple listed above were held at ___________,
_____ day ______ of month _______ year Five Thousand Seven Hundred and ________
(_________) and were registered at the Rabbanut office at ___________.
(signed)
_________________
_________________
_________________
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