Application for Certification of Unmarried Status

  1. Full name: ………..……………………………………………………………………………………………………………………………………………………
  2. Date of Birth: ……………………………………..
  3. Civil Status : (Single/Divorcee)………………
  4. National ID No: ……………………………………..
  5. Passport No: ……………………………………..
  6. Date of Issue: ……………………………………..
  7. Date of Expiry: ……………………………………..
  8. Name of the father:………………………………………………………………...
  9. Name of the mother:………………………………………………………………...
  10. Permanent Address in Sri Lanka:…………………...…………………………………… ……...………………………..…………………………………………………………………
  1. Period of residing in that address: ….…………………………………………...
  2. Grama Niladhari Division:………………………………………………………...
  3. Divisional Secretariat:………………………………………………………...
  1. Present address in Russia: ………………………………………………………..
  1. Police Region:………………………………………………………..
  2. Period of residing at the above address:……………………………………..
  1. Profession :………………………………….
  2. Place of work/Study :………………………………………………………………...
  3. Embassy registration ID No:………………………………..
  4. Do you have PR in Russia? ……..………………… Since when …..….……………..
  5. Have you obtained dual citizenship/citizenship of a foreign country: ……….….

If yes, Country:……………………………… Registration No: ………………………...

  1. If the applicant has been entered in to a legal contract of marriage at any time, please give following details,

Name of the other party: ….……………………………………………………………...

Address: ……….………………………………………………………………………….…..

Passport Number: ………………………………………

Nationality: ………………………………………

Date of the divorce :……………………...( should furnish the divorce certificate)

  1. Name of the person to be married: …………………………………………………….

………………………………………………………………………………………………….

Address: ………………………………………………………………………………………

………………………………………………………………………………………………….

Passport Number: ………………………………………

Nationality: ………………………………………

Date of Birth: ………………………………………

  1. Address of the relevant authority the letter should be issued:…………………….

………………………………………………………………………………………………….

  1. Supportive documents attached:
  1. Affidavit given by (name)………………………………………………………… and counter signed by the Consular Division of the Ministry of Foreign Affairs of Sri Lanka.
  2. ………………………………………………………………………………………….

19.Declaration

I………………………………………………………………………………………………... the applicant for certification of unmarried status, hereby certify that I am not a married person and also declare the particulars finished above are true and correct. If it’s revealed that the particulars furnished by me are incorrect, I am well aware that legal action can be instituted against me.

Date:……………………….…………………………..

Signature of the Applicant

I …….………………………………………………… the Ambassador of the Democratic Socialist Republic of Sri Lanka in Russian Federation hereby certify that ……………… ……………………………………………………………………has placed his/her signature before me on ……………………………at the Embassy of Sri Lanka in Moscow, Russia.

Date:……………………………………………………..

Signature and rubber stamp

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