Bill No. 19 Marriage And Divorce Bill 2009 s. 21 REPUBLIC OF UGANDA Form E Registrar’s Licence 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 marriage intended between the parties named and described in this certificate, the notice being delivered under the hand of ______________________, one of the parties. Name Condition (Man) Bachelor (Woman) Spinster Occupation, rank or profession Age Consent Dwelling Length of residence Date of notice entered _________________________________ Date of licence given ______________________________________ No caveat has been entered against the issue of the licence or a caveat was entered against the issue of this licence on the ______ day of ______________, 20 ______, but it has been cancelled. Witnessed under my hand this ______ day of ______________, 20 ____. ___________________________ Registrar of Marriages __________________________ District Note: This license will be void unless the marriage is solemnized on or before the _____ day of _____________, 20 ____. 78

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