Form BMD 006/007
APPLICATION FOR DEPOSIT OF MARRIAGE CERTIFICATE
Please complete the application form and translation and submit together with the original marriage certificate
and appropriate fee.
PLEASE COMPLETE IN FULL IN BLOCK CAPITALS
GROOM
BRIDE
TITLE:
FORENAME(S):
SURNAME:
FULL POSTAL ADDRESS:
DAYTIME TELEPHONE NUMBER:
EMAIL ADDRESS:
BRITISH PASSPORT NUMBER:
ISSUED AT:
DATE ISSUED:
FULL POSTAL ADDRESS OF PLACE OF
MARRIAGE:
DATE OF MARRIAGE:
I hereby declare that the information given is correct to the best of my knowledge and belief:
SIGNATURE:
PRINT NAME:
DATE:
Translation
Please use the following template to translate your marriage certificate.
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When you make your translation, please do not omit or add any information that does not appear
on the original.
Please write over the words in blue with your information from Japanese certificate Date should be
in DDMMYYYY format
Italics – Tips for translation, please delete before submission.
Form BMD 006/007
TRANSLATION
Serial No. [000]
CERTIFICATE OF ACCEPTANCE OF NOTIFICATION OF MARRIAGE
Husband :
Born :
Permanent domicile or Nationality
Particulars in Family Register :
First name SURNAME
DD MM YYYY
Wife :
Born :
Permanent domicile or Nationality
Particulars in Family Register :
First name SURNAME
DD MM YYYY
Please delete if not mentioned on the
certificate
Please delete if not mentioned on the
certificate
Whereas a notification of marriage was submitted by the parties named above,
bearing also the signatures of [First name SURNAME] and [First name SURNAME]
as witnesses:
I hereby certify that following due examination I accepted the same on [DATE] and
that thereby a lawful marriage was established.
[DATE]
[Mayor’s NAME]
Mayor of [CITY/Prefecture]
Official in charge of family registration
matters on behalf of the Japanese Government
(Official stamp)