REPUBLIC OF SOUTH SUDAN

CENTRAL EQUATORIA STATE

Civil Registry Office

Marriage Registration - Juba, South Sudan

Tel: +211 123 456 750 | Email: civilregistry@ces.gov.ss

MARRIAGE CERTIFICATE APPLICATION FORM

Form Reference Number: CES/MC/2026/6895

Date Issued: 11/01/2026

INSTRUCTIONS: Both parties must be present during submission. Attach: National IDs or passports of both parties, passport-size photos (2 each), birth certificates, and divorce/death certificates if previously married. Two witnesses required.

SECTION A: GROOM'S INFORMATION

1. Full Name: *

2. Date of Birth: *

3. Nationality: *

4. National ID/Passport No: *

5. Phone Number: *

6. Residential Address: *

7. Father's Full Name: *

SECTION B: BRIDE'S INFORMATION

8. Full Name: *

9. Date of Birth: *

10. Nationality: *

11. National ID/Passport No: *

12. Phone Number: *

13. Residential Address: *

14. Father's Full Name: *

SECTION C: MARRIAGE DETAILS

15. Date of Marriage: *

16. Place of Marriage: *

SECTION D: WITNESSES

17. First Witness Name: *

18. ID Number: *

19. Second Witness Name: *

20. ID Number: *

DECLARATION BY BOTH PARTIES

We, the undersigned, hereby declare that we freely consent to this marriage and that there are no legal impediments to our marriage. We affirm that all information provided is true and correct. We understand that this marriage will be registered in accordance with the laws of the Republic of South Sudan.

Groom's Signature:

Bride's Signature:

Witness 1 Signature:

Witness 2 Signature:

FOR OFFICIAL USE ONLY

Marriage Officer:

Registration Date:

Certificate Number:

OFFICIAL STAMP

Processing Fee: 2,000 SSP | Processing Time: 7-10 Working Days

Civil Registry Office - Central Equatoria State Government

Celebrating Love and Commitment