BALI WEDDING BOOKING APPLICATION FORM
 

	Email Address (required)
	Fax /Phone Number  (required)
1	GROOM
	Name
	Nationality
	Place and Date of Birth
	Religion
	Occupation
	Local Address (in Bali)
	Permanent Address
	Have/have not been marriage before	No Yes
	Name of ex Wife (if any)
	Children from previous marriage (if any)
2	FATHER OF GROOM
	Name
	Age
	Religion
	Occupation
	Permanent Address
3	MOTHER OF GROOM
	Name
	Age
	Religion
	Occupation
	Permanent Address
4	BRIDE
	Name
	Nationality
	Place and Date of Birth
	Religion
	Occupation
	Local Address (in Bali)
	Permanent Address
	Have/have not been marriage before
	Name of ex Husband (if any)
	Children from previous marriage (if any)
5	FATHER OF BRIDE
	Name
	Age
	Religion
	Occupation
	Permanent Address
6	MOTHER OF BRIDE
	Name
	Age
	Religion
	Occupation
	Permanent Address
7	FIRST WITNESS
	Name
	Age
	Religion
	Occupation
	Permanent Address
8	SECOND WITNESS
	Name
	Age
	Religion
	Occupation
	Permanent Address
9	Wedding Type
		Legal Wedding Arrangement Religious Wedding Arrangement Only Balinese Wedding Celebration Commitment Wedding Arrangement
10	Preferred Place & Date Of Wedding Ceremony

REQUIRED DOCUMENTS Copy of Details Page Of Passport (HIS / HERS / WITNESSES) Copy of Birth Certificate (HIS / HERS) Copy of Divorce / Death Certificate (if applicable) - (HIS / HERS) Copy of Baptism Certificate (HIS / HERS) Photographs of couple together (4 X 6 cm) 5 pieces NOTE : Additional items are required for Catholic couples, and this information will be given upon request.