DATA SHEET 1 for the registration of marriage solemnised abroad I. Request I, the undersigned husband wife authorised representative ____ (name) do hereby request for the registration of the following marriage: II. Data relating to the marriage Place of marriage: Name of the city/town in Hungarian (if any): Name of the city/town in the foreign language: County, federal province, canton etc.: Country: ____ ____ ____ ____ Date of marriage: ____Year ____ Month ____ Day Data: Family name at birth: The husband ____ ____ Given name(s): ____ ____ Former married name before this marriage: Married name after this marriage: Place of birth Name of the city/town in Hungarian (if any): Name of the city/town in the foreign language: County, canton, federal state or province: Country: PIN (or, in the absence thereof, date of birth): Family status before the marriage: ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ ____ Year ____ Month ____ Day single divorced widow(er) registered civil partner (RCP) divorced RCP widow(er) RCP ____ ____ ____ Year ____ Month ____ Day single divorced widow(er) registered civil partner (RCP) divorced RCP widow(er) RCP ____ Residence at the time of marriage (city/town, country): Father's family and given ____ name at birth: ____ Mother's family and given name at birth: Spouses' citizenship at the time of marriage: 1 The wife ____ ____ ____ ____ ____ ____ ____ ____ Please complete the data sheet by typing or in capital letters. 2 Document certifying citizenship: f passport/ID card/address card f number: f date of expiry: ____ ____ ____ ____ ____ ____ III. Statements 1. If the spouses married family name is different, they mutually agree that their future children will bear the following family name at birth: ____ ………………………………….……… husband ……………………………………………. wife 2. The marriage certificate a. b. ____ is requested to be served to the foreign representation's office. Attn ____ ____ city/town, county, ____ country, ____ street name, number, floor, flat ____ ZIP code. 3. Applicant's statement: I understand and speak Hungarian: yes no Language of interpretation: ____ Interpreter's name: ____ Document certifying personal identity2: ___________________________ Signature I have submitted this request on my part as a legal representative as an attorney-in-fact and I have attached an original copy of the power of attorney. The type, number and date of expiry of the attorney-in-fact's identity document: ____ 4. Information The original copy or the certified translation of the marriage certificate submitted with this data sheet will be attached to the domestic civil register documents, so it may not be returned to the applicant. 2 Except if the interpreter is the employee of the receiving authority. 3 I acknowledge the above information: Applicant ___________________________ Applicant 5. In the case of registration of Hungarian citizen(s) living abroad, information concerning the current residence and family status of the person(s) to be registered3: Husband: ____ residence ____ city/town ____ province ____ country ____ ZIP code Family status during the registration procedure: ____ Wife: ____ residence ____ city/town ____ province ____ country ____ ZIP code Family status during the registration procedure: ____ 6. The information on the data sheet are true and correct. Contact data: ____@____ email address or ____ phone number Verification of personal identity: expiry: ____ Number of ID card, passport, other document: ____ Date of Dated in ____ , on ____ Year ____ Month ____ Day ________________________________ Applicant _______________________________ Applicant FOR OFFICIAL USE ONLY! Office name: ________________________ File No.:______________________ / ______ Corrections (corrected data must be signed) 3 If the person(s) request(s) the registration as Hungarian citizen(s) living in Hungary, Point 8 must be left blank. 4 The receiving office has made corrections on the data sheet. corrections on the data sheet. The applicant has made Dated in ______________________ , on ____ Year _______________ Month ___ Day L. S. ___________________________ Signature of person taking over the data sheet Annexes4: original copy or certified copy with certified Hungarian translation of the marriage certificate (if necessary, provided with diplomatic legalisation or Apostille) Documents certifying the termination of marriage final court/notarial/administrative decision on the dissolution of the marriage death certificate of the deceased spouse endorsed marriage certificate certificate referred to in Regulation 2201/2003/EC (Brussels II/A) other, please specify: ____ Documents certifying citizenship: citizenship certificate (photocopy) passport (photocopy) ID card (photocopy) naturalisation certificate (photocopy) if Hungarian citizenship cannot be proved, the application form specified in Annex 5 of Government Decree 125/1993 (22 September) (with the proviso that the applicant may not request the issuance of a citizenship certificate), as well as documents certifying the data referred to in Section 14 of Act LV of 1993 document presented to prove the fact of statelessness (photocopy) extract from the register of personal and residential data of citizens Other: statement of the Hungarian spouse on bearing the married name (if not included in the document) statement of the other spouse on the family name of the child (if he/she was not appeared in person before the authority when the application was submitted) certificate about the foreign citizen spouse's name (if not included in the document, e.g. photocopy of the passport) if the party/parties is/are entered into the register of births kept by the civil registrar who forwards the application, the birth certificate issued from such entry/entries birth certificate (photocopy) power of attorney if attorney-in-fact is involved, the husband/wife's written consent to the registration other (e.g. certificate of family status) ____ 4 Hungarian documents must be submitted in photocopy, foreign documents must be submitted as originals, if necessary, provided with diplomatic legalisation or Apostille.