Bill No. 19 Marriage And Divorce Bill REPUBLIC OF UGANDA 2009 s. 80(1). Form G Notice of Conversion of Marriage from a customary marriage into a Christian or Civil marriage. The Marriage and Divorce Act, 2009 To the registrar of marriages for the ______________ district of Uganda. I give you notice that I, the undersigned, and the other party named in this notice, being married to each other by customary law intend within three months after the date of this notice to convert that marriage into a marriage by which we shall be legally bound to each other as man and wife so long as we both shall live. Name Occupation, rank or profession Age Dwelling or place of abode Consent (if any) and by whom given (Man) (Woman) Witnessed under my hand, this ______ day of ______________, 20 ____. ___________________________________ Signature 80

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