Bill No. 19 s. 80(1) Marriage And Divorce Bill 2009 REPUBLIC OF UGANDA Form H Registrar's Certificate The Marriage and Divorce Act, 2009 I, ______________________________, registrar of marriages in the ______________________________ district of Uganda, certify that on the ______ day of _______________, 20 ____, notice was duly entered in the Marriage Notice Book of this district of the intended conversion by the parties named and described in this certificate of their former marriage by customary law into a marriage by which they shall be legally bound to each other as man and wife so long as both shall live, the notice being delivered under the hand of _________________________________________, one of the parties. Name (Man) Occupation, rank or profession Age Consent Dwelling Length of residence (Woman) Date of notice entered ________________________ Date of certificate given _________________ No caveat has been entered against the issue of the certificate/or A caveat was entered against the issue of this certificate on the ______ day of _______________, 20 ____, but it has been cancelled. Witness my hand this ______ day of _______________, 20 ____. ___________________ Registrar of Marriages ______________________ District NOTE: This certificate will be void unless the ceremony of converting the marriage by customary law into a legally binding marriage is performed on or before the _____ day of ____________, 20___. 81