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Begin Planning Your Wedding in Bali
 
When you are ready to begin planning your Bali Wedding we request that you fill in the form below. Please be advised that this information will eventually be required to process the paperwork to legalise your wedding.

We only request that information that is required to process your certificate. For more information on your privacy please click here see our faqs.

 
Please fill in all fields
 
Your name and how to contact you
  Your name - required
  Your email - required
  Telephone (w/ area code)
  Fax (w/ area code)
  Mobile (w/ area code)
 
Desired Wedding
  Select from menu
  Wedding date
 
Bride
  Name
  Nationality
  Date of Birth
  Place of Birth
  Religion
  Occupation
  Permanent Address
  Marital Status
  Name of ex-Husband
  Children's name(s)
 
Groom
  Name
  Nationality
  Date of Birth
  Place of Birth
  Religion
  Occupation
  Permanent Address
  Marital Status
  Name of ex-Wife
  Children's name(s)
 
Bride's Father
  Name
  Age
  Religion
  Occupation
  Permanent Address
 
Bride's Mother
  Name
  Age
  Religion
  Occupation
  Permanent Address
 
Groom's Father
  Name
  Age
  Religion
  Occupation
  Permanent Address
 
Groom's Mother
  Name
  Age
  Religion
  Occupation
  Permanent Address
 
First Witness (if known)
  Name
  Age
  Religion
  Occupation
  Permanent Address
 
Second Witness (if known)
  Name
  Age
  Religion
  Occupation
  Permanent Address
     
Additional Questions or Requests that will help us plan your wedding
 
   
  Verification Code
Please type the verication code above