Lists of country-specific entry headings received from the Member States of the European Union pursuant to Article 24(2) of Regulation (EU) 2016/1191 of the European Parliament and of the Council on promoting the free movement of citizens by simplifying the requirements for presenting certain public documents in the European Union and amending Regulation (EU) No 1024/2012
Date: 2021-08-23
Institutions: Directorate-General for Justice and Consumers, European Commission
Subjects: administrative cooperation, administrative formalities, exchange of information, form, free movement of persons, official document








C_2021339EN.01000101.xml










23.8.2021   


EN


Official Journal of the European Union


C 339/1






Lists of country-specific entry headings received from the Member States of the European Union pursuant to Article 24(2) of Regulation (EU) 2016/1191 of the European Parliament and of the Council on promoting the free movement of citizens by simplifying the requirements for presenting certain public documents in the European Union and amending Regulation (EU) No 1024/2012
(2021/C 339/01)

ANNEX I – BIRTH


Austria

Time
Other names
Academic qualifications/professional titles
Mother/parent
Surname(s)
Other names
Academic qualifications/professional titles
Forename(s)
Father/parent
Surname(s)
Other names
Academic qualifications/professional titles
Forename(s)

Belgium

Section 1
Section 2
Declared by the parent(s)
Title of nobility
Time of birth
MOTHER’S DETAILS
Surname(s)
Title of nobility
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
Details of parent 1
Surname(s)
Title of nobility
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
FATHER’S DETAILS
Surname(s)
Title of nobility
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
CO-MOTHER’S DETAILS
Surname(s)
Title of nobility
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
Details of parent 2
Surname(s)
Title of nobility
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
ACKNOWLEDGMENT
Prenatal acknowledgement certificate number
Acknowledged by
The mother
The father
The co-mother
Date of acknowledgement
Consent
The mother
The father
The co-mother
The legal representative
The child
Date (dd/mm/yyyy) of consent
Place where the consent was given
Authority before which the consent was given
Court decision establishing the consent
Court
Date (dd/mm/yyyy) of the decision
Case number or decision reference number

Bulgaria

Birth certificate (in the case of incomplete adoption)
Civil registrar’s name [forename, family name]
Patronymic
Date of birth in words (in the case of a birth certificate only)
Time of birth in hours and minutes (for 3.2.2 only)
Personal identity number
Nationality
Mother [forename, patronymic, family name]
Personal identity number/Date of birth
Father [forename, patronymic, family name]
Personal identity number/Date of birth
Adoptive parent [forename, patronymic, family name] (for 3.2.1.1 only)
Personal identity number/Date of birth
Adoptive parent [forename, patronymic, family name] (for 3.2.1.1 only)
Personal identity number/Date of birth
ISSUED ON THE BASIS OF BIRTH CERTIFICATE [NUMBER]
date [day, month, year]
drawn up in [place, municipality, region]

Cyprus

Personal identification number
Place of origin
Father’s name
Father’s surname
Mother’s name
Mother’s maiden name
Place and date of registration

Czech Republic

Birth certificate
Place of issue
Full name of registrar
Registry office where the birth is registered
Volume
Year
Page
Serial number
Personal identification number
Father
Surname/s
Surname at birth
Forename/s
Date of birth
Place and country of birth
Personal identification number
Mother
(Surname/s
Surname at birth
Forename/s
Date of birth
Place and country of birth
Personal identification number
NOTE

Germany

Not stated
Divers
Religion
PARENT 1
Surname(s)
Name at birth
Forename(s)
Religion
PARENT 2
Surname(s)
Name at birth
Forename(s)
Religion
OTHER DETAILS FROM THE REGISTER

Denmark

Middle name(s)
Place where child was named
Date on which child was named
Name of church where child was baptised
Date of baptism
Personal identification number
Place of registration of birth
Biological or adoptive parents’ full names

Estonia

Person's name
Position
Signature
Seal or stamp.
Birth certificate, registered at the Estonian Vital Statistics Office
Personal identification code
Father/Parent
Forename(s)
Surname(s)
Personal identification code
Date (dd/mm/yyyy) of birth
Mother/Parent
Forename(s)
Surname(s)
Personal identification code
Date (dd/mm/yyyy) of birth
Authority that registered the birth
Number of birth registration
Date of registration of birth

Greece

Prefecture
Municipality
Street
Telephone
Signature
The declarant and
By order of the Mayor The Head of Municipal Register
Details of birth registration certificate (number/volume/year)
Date of declaration
Family record number (former family record number, municipal unit)
S/N of family record member (former S/N of family record member)
Date of birth in words
Time
Settlement of birth
Location of birth
Type of birth
Birth order
Social security number
Special electoral number
Birth attendants
Nationality
Date on which nationality was acquired
Date of entry in municipal register
Male register (decentralised administration, municipality, municipal unit, local or municipal community)
Number/year of male register (S/N, year)
Entry in the male register (type of entry)
INFORMATION ON PARENTS
Father
Surname(s)
Forename(s)
Nationality
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
City/town abroad
Religion
Denomination
Population register
Population register number
Tax identification number
Social security number
Social security bodies
Mother
Surname(s)
Forename(s)
Nationality
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
City/town abroad
Religion
Denomination
Population register
Population register number
Tax identification number
Social security number
Social security bodies
Father’s surname (mother only)
INFORMATION ON NAMING
Date of naming
Given name
INFORMATION ON BAPTISM
Place of baptism
Church
Religion/denomination
Date of baptism
Full name of priest
Godparents
INFORMATION ON DECLARANT
Full name
Place of domicile
Category
INFORMATION ON DOCTOR
Full name
Place of domicile
Telephone
Comments
THE CERTIFICATE WAS ISSUED (REASON FOR ISSUING)
For any type of legal purpose
Other

Spain

Civil Register in which it is entered/volume/page
Time of birth
National identity card
Details of parent A
Name
Surnames
National identity card
Name and surnames of parents
Place of birth/province/country
Date of birth
Marital status
Nationality
Address
Province and country
Details of parent B
Name
Surnames
National identity card
Name and surnames of parents
Place of birth/province/country
Date of birth
Marital status
Nationality
Address
Province and country
Parents’ marriage
Date of marriage
Place
Province and country
Civil Register in which it is entered/volume/page

Finland

Visitor address
Postal address
Place and postal code
Telephone number
Place of issue
The details given above correspond to the data recorded in the population information system
Previous surnames (after the age of 15)
Forename normally used
Municipality of residence at birth
Abroad
Unknown
Personal identity number
Citizenship
Stateless
Not yet determined
Unknown
Municipality of residence
No municipality of residence in Finland
Abroad
Unknown
PERSON’S PARENTS
Father
Surname(s)
Previous surnames
Forename(s)
Forename normally used
Date (dd/mm/yyyy) of birth
Place and country of birth
Municipality of residence at birth
Abroad
Unknown
Personal identity number
Citizenship
Stateless
Not yet determined
Unknown
Mother
Surname(s)
Previous surnames
Forename(s)
Forename normally used
Date (dd/mm/yyyy) of birth
Place and country of birth
Municipality of residence at birth
Abroad
Unknown
Personal identity number
Citizenship
Stateless
Not yet determined
Unknown

France

Time (hh:mm) when the birth certificate was issued
Surname(s) of the local registrar who issued the birth certificate
First name(s) of the local registrar who issued the birth certificate
Father’s (mother’s) surname(s)
Father’s (mother’s) first name(s)
Date (dd/mm/yyyy) of father’s (mother’s) birth
Place and country of father’s (mother’s) birth
Father’s (mother’s) occupation
Father’s (mother’s) domicile
Mother’s (father’s) surname(s)
Mother’s (father’s) first name(s)
Date (dd/mm/yyyy) of mother’s (father’s) birth
Place and country of mother’s (father’s) birth
Mother’s (father’s) occupation
Mother’s (father’s) domicile
Time (hh:mm) of birth
Parent making declaration: Father and/or mother
Third party making declaration
Surname of declarant
First name(s) of declarant
Age of declarant
Occupation of declarant
Domicile of declarant
Date of the decision (or order) and name of the authority
Nature of the decision
Date and name of the authority which issued the decision for entry in the register
Main information: marriage (date (dd/mm/yyyy) and place of marriage, surname(s) and first name(s) of spouse), divorce (surname(s) and first name(s) of former spouse, date (dd/mm/yyyy), nature of the decision or certificate and name of the authority), legal separation (surname(s) and first name(s) of the other spouse, date (dd/mm/yyyy), nature of the decision and the court which ruled on the separation), dissolution of the marriage by annulment (date (dd/mm/yyyy), nature of the decision and the court which annulled the marriage), conclusion/modification/dissolution of a civil partnership (type of registration - conclusion, modification or dissolution of the civil partnership -, date (dd/mm/yyyy) and place of registration, partner’s surname(s)/first name(s)/date (dd/mm/yyyy), place and country of birth), death (date (dd/mm/yyyy) and place of death), nationality (date (dd/mm/yyyy), type of decision and designation of the authority which decided to grant/take away/reinstate French nationality, entry in the civil repository (evidence of entry in the civil repository (RC) and registration number)
Other information

Croatia

Surname and forename of the official who issued the certificate
Function of the official who issued the certificate
Place of issue
Registration district
District in which the birth was registered
Year of registration
Serial number under which the birth was registered
Date of registration
OIB (Personal Identification Number)
Time of birth
Ethnicity
Nationality
Information on the father
Forename(s)
Surname(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
Information on the mother
Forename(s)
Surname(s)
Surname(s) before the marriage
Date (dd/mm/yyyy) of birth
Place and country of birth
Notes
Place of issue

Hungary

Place of issue
Series
Name of the official who issued the extract from the civil status register
Position of the official who issued the extract from the civil status register
Unique civil status register electronic identifier
Father’s surname(s) and forename(s) at birth
Mother’s surname(s) and forename(s) at birth
Place of origin
Notes

Ireland

Registered in the Registrar's Office
Registrar
Superintendent Registrar's Registration Area
County
Date of Registration or Re-registration (if applicable)
Issued in Pursuance of the Civil Registration Act 2004
Certified to be compiled from a register maintained under section 13 of the Civil Registration Act 2004
Certified to be a true copy of the register maintained under section 13 of the Civil Registration Act 2004
To alter this certificate or to use it as altered is a serious offence
Issued by
Time of Birth
Multiple Birth
Mother/parent
Surname(s)
Forename(s)
Birth Surname
Former Surnames
Parents' Mother's Birth Surname
Civil Status
Occupation
Address
Date (dd/mm/yyyy) of birth
Father/parent
Surname(s)
Forename(s)
Birth Surname
Former Surnames
Parents' Mother's Birth Surname
Civil Status
Occupation
Address
Date (dd/mm/yyyy) of birth
Informant A
Qualification
Signed by
Surname(s)
Forename(s)
Address
Informant B
Qualification
Signed by
Surname(s)
Forename(s)
Address

Italy

Certificate of record of birth from civil status registers
Certificate of birth based on entry in population register
Extract of record of birth from civil status registers
Place of issue
First name and surname of official who drew up the record
Volume, part, series
Year
Number
Time of birth
First name and surname of mother
First name and surname of father
Annotations to birth certificate

Lithuania

Extract confirming the record of birth
The extract confirming the record of birth is correct
Job title
Signature
Forename and surname of official
Stamp
Personal identification number
Ethnicity
Citizenship
Information about the mother
Personal identification number
Forename(s)
Surname(s)
Date (dd/mm/yyyy) of birth
Ethnicity
Citizenship
Information about the father
Personal identification number
Forename(s)
Surname(s)
Date (dd/mm/yyyy) of birth
Ethnicity
Citizenship
Comments
RECORD OF BIRTH
Name of civil registry or consular office
Date (dd/mm/yyyy)
Number
Place of completion
Code of civil registry or consular office

Luxembourg

Signature and seal of depository
Place and country of issue
Parent A
Surname(s)
Forename(s)
Sex
Female
Male
Date (dd/mm/yyyy) of birth
Place and country of birth
Parent B
Surname(s)
Forename(s)
Sex
Female
Male
Date (dd/mm/yyyy) of birth
Place and country of birth

Latvia

Personal identification number
Time of birth (a.m./p.m.)
Ethnicity
Country of citizenship
INFORMATION ON FATHER
Surname(s)
Forename(s)
Personal identification number
Ethnicity
Country of citizenship
INFORMATION ON MOTHER
Surname(s)
Forename(s)
Personal identification number
Ethnicity
Country of citizenship
INFORMATION ON REGISTER OF BIRTHS
Registering authority
Date of registration
Entry number in register

Malta

Public Registry
Signature of the Director of the Public Registry or other Office authorised to act in his/her stead
Date of Act
Progressive Number of the entry / inscription
Names Given
Hour, day, month and year
Father
Surname(s)
Forename(s)
Identification Document
Age - Years
Profession, trade or other status
Place and country of birth
Residence
Name and surname of the father, and whether living or dead (grandfather of the child)
Name and surname of the parents, including surname at birth, and whether living or dead
the parent
Surname(s)
Forename(s)
Mother
Surname(s)
Forename(s)
Place and country of birth
the parent who gave birth to the child
Surname(s)
Forename(s)
Identification Document
Age - Years
Profession, trade or other status
Residence
Name and surname of the father, and whether living or dead (grandfather of the child)
Name and surname of the parents, including surname at birth, and whether living or dead
The Person making the declaration
Annotations/ Addenda

Netherlands

Extract from certificate of stillbirth
Extract from birth certificate (stillborn)
This extract contains information relating to the original
Certificate of stillbirth
Birth certificate (stillborn)
This copy is made up of … page(s) and corresponds to the original
Place of issue
Name of registrar
Signature
Hour and minute of birth
Parents
Father’s surname
Mother’s surname
Father’s forenames
Mother’s forenames
Surname of the mother giving birth to the child
Forenames of the mother giving birth to the child
Other information
Chosen surname
Parents’ birth details
Father’s place of birth
Mother’s place of birth
Father’s date of birth
Mother’s date of birth
Place of birth of the mother giving birth to the child
Date of birth of the mother giving birth to the child
Declarant
Surname(s)
Forename(s)
Place and country of birth
Date (dd/mm/yyyy) of birth
ADMINISTRATIVE DETAILS AND SIGNATURES
Place and date of act
Name of registrar
Signature
AMENDMENTS AND SUBSEQUENT ENTRIES
Certificate within the meaning of Article 1:19i(1) of the Civil Code
Other entries
Later entries regarding recognition
Continuation sheet
Ref.
Document
Reference number of the public document
Done at
On
By
Person recognising the child
Father’s surname
Father’s forenames
Place and country of birth
Date (dd/mm/yyyy) of birth
Authorised by
Child’s surname
Chosen surname
Recognition under the law of
Administrative details and signatures
Place and date of act
Name of registrar
Signature
Later entries regarding recognition
Continuation sheet
Ref.
Document
Reference number of the public document
Done at
On
By
Person recognising the child
Mother’s surname
Mother’s forenames
Place and country of birth
Date (dd/mm/yyyy) of birth
Authorised by
Child’s surname
Chosen surname
Recognition under the law of
Administrative details and signatures
Place and date of act
Name of registrar
Signature
Later entries regarding choice of name
Continuation sheet
Ref.
Document
Reference number of the public document
Done at
On
By
Chosen surname
Administrative details and signatures
Place and date of act
Name of registrar
Signature

Poland

The copy is consistent with the wording of birth certificate No
Forename, surname and position of the person who issued the document
Place where the document was drawn up
Stamp duty
not subject
exempt
collected
Parents’ details
Mother
Forename(s)
Surname at birth
Father
Forename(s)
Surname at birth

Portugal

Time of birth
Child of A
Name
Age
Civil status
Married
Unmarried
Divorced
Widowed
Other (to be specified)
Place of birth
Habitual residence
Child of B
Name
Age
Civil status
Place of birth
Habitual residence
Special remarks
The parents are foreign nationals
Comments on the birth certificate
Married … (name of spouse) on … (date)
Death of spouse on … (date)
Divorced on … (date)
Non-existence of the marriage on … (date)
Annulment of the marriage on … (date)
Marriage declared null and void on … (date)
Legal separation on … (date)
Reconciliation of spouses on … (date)
Conversion of legal separation into divorce on … (date)
Parental responsibility established on … (date) with custody granted to … (names(s)) who exercise(s) parental responsibility.
Guardianship established on … (date) and … (name) appointed as guardian.
Declared legally incapacitated on … (date) and … (name) appointed as conservator.
Declared legally incompetent on … (date) and … (name) appointed as guardian.
Parental responsibility exercised by … (name).
Name changed to … (new name) on … (date).
Died on … (date)
Body found on … (date).
Declaration of presumed death issued on … (date).
Portuguese nationality granted on … (date).
Acquired Portuguese nationality on … (date).
Portuguese nationality withdrawn on … (date).

Romania

Birth certificate No / dated (dd/mm/yyyy)
Registered at (Locality/Embassy/Consulate/County)
Personal Identification Number
Parents’ details
Father’s surname
Father’s first name
Mother’s surname
Mother's first name
REMARKS
Yes
No

Sweden

Mother
Date (dd/mm/yyyy) of birth
Citizenship
Surname(s)
Forename(s)
Place and country of birth
National identification No
Father
Date (dd/mm/yyyy) of birth
Citizenship
Surname(s)
Forename(s)
Place and country of birth
National identification No

Slovenia

Serial number of the document
Personal Identification Number
Surname of father
Forename of father
Surname of mother
Forename of mother
Nationality
Notes

Slovakia

Birth certificate
Register of births
Place of issue
Full name of registrar
Signature
Volume
Year
Page
Serial number
Personal Identification Number
Father
Forename(s)
Surname(s)
Surname at birth
Date (dd/mm/yyyy) of birth
Place and country of birth
Nationality
Personal Identification Number
Mother
Forename(s)
Surname(s)
Surname at birth
Date (dd/mm/yyyy) of birth
Place and country of birth
Nationality
Personal Identification Number
Notes

ANNEX II – LIFE


Belgium

This document is issued
following the person’s appearance in court
on the basis of the Population Register
on the basis of the ID card
Title of nobility
Pseudonym
National registration number
Nationality
Civil status
Married
Unmarried
Divorced
Widowed
Date (dd/mm/yyyy) of marriage
Date (dd/mm/yyyy) of divorce
Date (dd/mm/yyyy) of death
Surname(s) of former spouse
First name(s) of former spouse

Germany

Not stated
Divers

Estonia

Person's name
Position
Signature
Seal or stamp
Personal identification code
Date of commencement of residence at place of residence
Civil status
Married/Date (dd/mm/yyyy) of marriage
Never married
Divorced/Date (dd/mm/yyyy) of divorce
Widowed/ Date (dd/mm/yyyy) of spouse’s death
Undetermined
Nationality
Estonia
Undetermined
Other (specify)
Additional address
Street and number/PO box
Place and postal code
Country
Date additional address became effective
Person’s status
Living
Deceased
No data
Undetermined
Names
Surname(s)
Forename(s)
Date name changed
Document type

Spain

Civil Register
Name and surnames of parent A
Name and surnames of parent B

Finland

Visitor address
Postal address
City
Telephone number
Place of issue
The details given above correspond to the data recorded in the population information system
According to Section 38 of Government Decree 128/2010, the extract may be signed electronically.
Previous surnames
Previous surnames (after the age of 15)
Previous forenames
Previous forenames (people over 15 years old)
Forename normally used
Municipality of residence at birth
Abroad
Unknown
Date of move (dd/mm/yyyy)
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Personal identity number
Citizenship
Stateless
Not yet determined
Unknown
Civil status
Single
Married
Divorced
Widow/widower
Registered partner
Divorced from registered partnership
Widowed from registered partnership
Unknown
Mother tongue

France

Presentation of an identity document
The person appeared before this authority

Hungary

Place of issue
Mother’s name
Nationality
Means of identification
Identification document number

Luxembourg

Data extracted from the National Register of Natural Persons in accordance with Article 4 of the Grand-Ducal Regulation of 29 March 2016 concerning certain certificates issued on the basis of the data contained in the National Register of Natural Persons (Mémorial [Luxembourg Official Gazette] A No 52 of 31 March 2016). These data are certified correct unless indicated by an asterisk on a light grey background (*).
Place and country of issue
Identification number

Latvia

Time of issue
Personal identification number
Identity established on basis of passport
Identity established on basis of identity card
Number of identification document
Date of issue of identification document
Document issued by (authority)
COSTS
Remuneration (please specify)
VAT
State charge collected
Other (specify)
Total

Netherlands

Place of issue
Name of registrar
Signature
Check carried out
National identity card
Passport
Driving licence
Residence permit
Municipal registers
Consular registers
Other proof(s) of identity

Poland

Notary fees
collected
benefits from exemption
Father’s forename
Mother’s forename
Identity document
ID card
passport
other document (please specify)
Issue No and reference No

Romania

Personal Identification Number
Document of identity [e.g., Identity card, temporary ID, Passport, if applicable]
Type of document
Series and number
Issued by [relevant authority]
Date of issuance
Reference number of the annex

Sweden

National identification No
Registration in national population register
Date
County
Municipality
Confidential personal data

ANNEX III – DEATH


Austria

Date
Other names
Academic qualifications/professional titles
Last place of residence
Place of birth
Court of issue, date and number of declaration of death
Last marriage/registered partnership
Civil status data of survivor (spouse/registered partner)
Surname(s)
Other names
Academic qualifications/professional titles
Forename(s)
Sex
Female
Male

Belgium

Title of nobility
Time of death
Place and country of birth
Place of discovery of the dead body
Date of discovery of the dead body
Time of discovery of the dead body

Bulgaria

Civil registrar’s name [forename, family name]
Patronymic
Time of death in hours and minutes
Personal identity number
Place of Birth
Nationality
Family status
Permanent address
Issued on the basis of death certificate [number]
date [day, month, year]
drawn up in [place, municipality, region]

Cyprus

Personal identification number
Father’s name
Father’s surname
Place and date of registration

Czech Republic

Death certificate
Place of issue
Full name of registrar
Registry office where the death is registered
Volume
Year
Page
Serial number
Surname at birth
Place and country of birth
Personal status
Personal identification number
Place and country of permanent residence
Husband/Wife, Partner
Surname(s)
Forename(s)
Surname at birth
Personal identification number
Note

Germany

Time of death
Not stated
Divers
Name at birth
Religion
Marital status
HUSBAND/ WIFE/ SPOUSE/ REGISTERED PARTNER (OF THE DECEASED PERSON WHOSE DEATH IS BEING REGISTERED)
Surname(s)
Name at birth
Forename(s)
Other details from the register

Denmark

Middle name(s)
Place of registration of death
Place of burial
Place of registration of birth
Personal identification number
Surviving or predeceased spouse’s full name
Spouse’s personal identification number or date of birth

Estonia

Person's name
Position
Signature
Seal or stamp.
Death Certificate, Registered At The Estonian Vital Statistics Office
Personal identification code
Authority that registered the death
Death registration number
Date of registration of death

Greece

Prefecture
Municipality
Street
Telephone
Details of death registration certificate (number/volume/year)
Date of declaration
Place of birth (municipality, prefecture, country)
Settlement of birth
Father’s forename
Mother's forename
Nationality
Religion
Age
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
Municipality of registration
Population register number
Marital status
Profession
Type of identity card
Identity card number
Date of issue of identity card
Tax identification number
Social security number
Pension providers
INFORMATION ON DECLARANT
Full name
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
INFORMATION ON BURIAL/CREMATION
Place
Date of burial
Time
INFORMATION ON THE DEATH
Place
Time
Cause
INFORMATION ON SPOUSE
Surname(s)
Forename(s)
The declarant and

Spain

Civil Register in which it is entered/volume/page
Time of death
Place of birth/province/country
Civil Register in which birth is entered/volume/page
National identity card
Name and surnames of parent A
Name and surnames of parent B
Marital status
Nationality
Last address/province/country
Place of burial/province/country

Finland

Visitor address
Postal address
City
Telephone number
Place of issue
The details given above correspond to the data recorded in the population information system
According to Section 38 of Government Decree 128/2010, the extract may be signed electronically.
Previous surnames
Previous surnames (after the age of 15)
Previous forenames
Previous forenames (after the age of 15)
Forename normally used
Municipality of residence at birth
Abroad
Unknown
Personal identity number
Main place of residence
Address of residence
Place and postal code
Date of move (dd/mm/yyyy)
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Citizenship
Stateless
Not yet determined
Unknown
Civil status
Single
Married
Separated
Divorced
Widow/widower
Registered partner
Divorced from registered partnership
Widowed from registered partnership
No data
Mother tongue

France

Time (hh:mm) when the death certificate was issued
Surname(s) of the local registrar who issued the death certificate
First name(s) of the local registrar who issued the death certificate
Time (hh:mm) of death
Place and country of birth of the deceased person
Occupation of the deceased person
Domicile of the deceased person
Father’s (mother’s) surname(s)
Father’s (mother’s) first name(s)
Father’s (mother’s) occupation
Father’s (mother’s) domicile
Mother’s (father’s) surname(s)
Mother’s (father’s) first name(s)
Mother’s (father’s) occupation
Mother’s (father’s) domicile
Surname(s) of adoptive parent
First name(s) of adoptive parent
Surname(s) of the other spouse (if the deceased person was married, widowed or divorced)
First name(s) of the other spouse (if the deceased person was married, widowed or divorced)
Surname(s) of the other partner (if the deceased person was in a civil partnership)
First name(s) of the other partner (if the deceased person was in a civil partnership)
Surname(s) of declarant
First name(s) of declarant
Age of declarant
Occupation of declarant
Domicile of declarant
Relationship with the deceased person
Date of the decision and name of the authority
Date and name of the authority which issued the decision for entry in the register
Other information

Croatia

Surname and forename of the official who issued the certificate
Function of the official who issued the certificate
Place of issue
OIB (Personal Identification Number)
Time of death
Place of birth
Registration district
District in which the death was registered
Year of registration
Serial number under which the death was registered
Date of registration
Ethnicity
Nationality
First name and surname of spouse and surname prior to marriage
Information on the father
Forename(s)
Surname(s)
Information on the mother
Forename(s)
Surname(s)
Notes
Code number
Place of issue

Hungary

Place of issue
Series
Name of the official who issued the extract from the civil status register
Position of the official who issued the extract from the civil status register
Unique civil status register electronic identifier
Married name
Surname(s) and forename(s) at birth
Marital status
Place of birth
Age
Father’s surname(s) and forename(s) at birth
Mother’s surname(s) and forename(s) at birth
Surname(s) and forename(s) at birth of spouse or registered partner
Notes

Ireland

Death Registered on foot of a Coroner's Certificate
Coroner's Office
Date of Post Mortem
Date of Inquest.
Forename(s)
Surname(s)
Qualification
Registered in the Registrar's Office
Superintendent Registrar's Registration Area
County
Date of Registration
Registration Number
Registrar
Issued in Pursuance of the Civil Registration Act 2004
Certified to be compiled from a register maintained under section 13 of the Civil Registration Act 2004
Certified to be a true copy of the register maintained under section 13 of the Civil Registration Act 2004
To alter this certificate or to use it as altered is a serious offence
Issued by
Birth Surname
Age
Place of Birth
Civil Status
Former Residence
Rank, Profession or Occupation
Certified Cause of Death and Duration of Illness
Occupation of Spouse
Father/parent
Forename(s)
Surname(s)
Occupation of Parent/Guardian 1
Mother's/Parent's Birth Surname
Mother/parent
Forename(s)
Surname(s)
Occupation of Parent/Guardian 2
Informant
Qualification
Address
Surname(s)
Forename(s)
Medical Practitioner Details
Surname(s)
Forename(s)
Qualification
Address
Telephone

Italy

Certificate of record of death from civil status registers
Certificate of death based on entry in population register
Extract of record of death from civil status registers
Place of issue
First name and surname of official who drew up the record
Volume, part, series
Year
Number
Time of death
Place of birth
Number, part, series, year, volume of birth certificate
Civil status of the deceased
Married - in a civil partnership
Widow/Widower
Divorced
Single
Annotations to birth certificate
Place of issue

Lithuania

Extract confirming the record of death
The extract confirming the record of death is correct
Job title
Signature
Forename and surname of official
Stamp
Personal identification number
Citizenship
Cause of death
Comments
Record of death
Name of civil registry or consular office
Date (dd/mm/yyyy)
Number
Place of completion
Code of civil registry or consular office

Luxembourg

Signature and seal of depository
Place and country of issue
Place and country of birth
Last spouse
Surname(s)
Forename(s)
Sex
Female
Male
Parent A
Surname(s)
Forename(s)
Sex
Female
Male
Parent B
Surname(s)
Forename(s)
Sex
Female
Male

Latvia

Personal identification number
Time of death (a.m./p.m.)
Place of birth
DOCUMENT ATTESTING TO INFORMATION
Death certificate
Other (specify)
Document number
Date of issue of document
Document issued by (authority)
INFORMATION ON REGISTER OF DEATHS
Registering authority
Date of registration
Entry number in register

Malta

Public Registry
Signature of the Director or other Officer authorised to act in his stead
Officer in charge
Date of the Act
Date of receipt of the Act
Progressive number of the Inscription
Place of birth
Whether married or unmarried, widower or widow
Identification Document
Age, Years
Profession, Trade or Status
Place of Residence
Name and Surname of parents, whether living or dead
Cause of death
Time of death
Place of burial
Annotations / Addenda

Netherlands

This extract contains information relating to the original
Death certificate (discovery of corpse)
This copy is made up of … page(s) and tallies with the original
Place of issue
Name of registrar
Signature
Place of residence
Hour and minute of death
Date on which the body was found
Hour and minute body was found
Place where the body was found
Place of birth
Married to
Registered partner of
Parents of the deceased
Father’s surname
Father’s forenames
Mother’s surname
Mother’s forenames
Other information
Married to/registered partner of
Declarant
Surname
Forenames
Place of birth
Date (dd/mm/yyyy) of birth
Administrative details and signatures
Place and date of act
Name of registrar
Signature
Amendments and subsequent entries
Other entries

Poland

The copy is consistent with the wording of death certificate No
Forename, surname and position of the person who issued the document
Place where the document was drawn up
Stamp duty
not subject
exempt
collected
Surname at birth
Civil status
Never married
Divorced
Widowed
Married
Place of birth
Details of deceased person’s spouse
Forename(s)
Surname(s)
Surname at birth
Details of deceased person’s parents
Mother
Forename(s)
Surname at birth
Father
Forename(s)
Surname at birth
Details of death
Time of death (hh/mm)
Date of discovery of body (dd/mm/yyyy)
Time body discovered (hh/mm)
Place body discovered

Portugal

Time of death
Place of burial
Civil status
Married
Unmarried
Divorced
Widowed
Other (to be specified)
Place of birth
Last habitual residence
Child of A
Child of B

Romania

Death certificate No / dated (dd/mm/yyyy)
Registered at (Locality/Embassy/Consulate/County)
Place of birth
Domicile (Locality, street and number, County)
Personal Identification Number
Parents’ details
Father’s surname
Father’s first name
Mother’s surname
Mother's first name
Remarks
Yes
No

Sweden

National identification No
Registration in national population register
Date
County
Municipality

Slovenia

Serial number of the document
Personal Identification Number
Place of Birth
Last permanent residence
Surname of spouse
Forename of spouse
Personal Identification Number of spouse
Notes

Slovakia

Death certificate
Register of deaths
Place of issue
Full name of registrar
signature
volume
year
page
Serial number
Surname at birth
Place of birth
Notes

ANNEX IV – MARRIAGE


Austria

Time
Other names
Academic qualifications/professional titles
Place of birth
Other names
Academic qualifications/professional titles
Place of birth

Belgium

Title of nobility
Place and country of birth
Title of nobility
Place and country of birth
WITNESSES
Witness 1
Surname(s)
Title of nobility
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
Witness 2
Surname(s)
Title of nobility
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
Witness 3
Surname(s)
Title of nobility
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
Witness 4
Surname(s)
Title of nobility
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
OTHER HEADINGS
Divorce
Court
Date (dd/mm/yyyy) of the court decision
Date (dd/mm/yyyy) when the court decision became res judicata
Date (dd/mm/yyyy) of entry in the civil status register/Date (dd/mm/yyyy) of registration in the Belgian database of civil status records
Case number or decision reference number
Marriage annulment
Court
Date (dd/mm/yyyy) of the court decision
Case number or decision reference number

Bulgaria

Civil registrar’s name [forename, family name]
Patronymic
Personal identity number
Place of birth (for 3.2.2 only)
Marital status before marriage (for 3.2.2 only)
Patronymic
Personal identity number
Place of birth (for 3.2.2 only)
Marital status before marriage (for 3.2.2 only)
Other information
Matrimonial property regime (for 3.2.2 only)
Field for comments (for 3.2.2 only)
ISSUED ON THE BASIS OF CIVIL MARRIAGE CERTIFICATE [NUMBER]
date [day, month, year]
drawn up in [place, municipality, region]

Cyprus

Marital status
Citizenship
Permanent residence
Parent’s name and surname
Marital status
Citizenship
Permanent residence
Parent’s name and surname
Spouse A
Surname(s) at birth
Forename(s)
ID card/passport number
Signature
Spouse B
Surname(s) at birth
Forename(s)
ID card/passport number
Signature
Surname and name of Witness 1
ID card/passport number of Witness 1
Signature
Surname and name of Witness 2
ID card/passport number of Witness 2
Signature

Czech Republic

Marriage certificate
Place of issue
Full name of registrar
Registry office where the marriage is registered
Volume
Year
Page
Serial number
Place and country of birth
Personal identification number
Personal status
Forename, surname and surname at birth of the father
Forename, surname and surname at birth of the mother
Place and country of birth
Personal identification number
Personal status
Forename/s, surname and surname at birth of the father
Forename, surname and surname at birth of the mother
AGREED SURNAME OF THE CHILDREN OF BOTH SPOUSES
NOTE

Germany

Surname(s) after the dissolution of the marriage
Forename(s) at birth
Forename(s) before the marriage
Forename(s) during the marriage
Forename(s) after the dissolution of the marriage
Place of birth
Not stated
Divers
Husband
Wife
Spouse
Religion
Other details from the register
Notices
Birth Spouse A
Registry office
Register number
Surname(s) after the dissolution of the marriage
Forename(s) at birth
Forename(s) before the marriage
Forename(s) during the marriage
Forename(s) after the dissolution of the marriage
Forename(s) following the marriage
Place of birth
Not stated
Divers
Husband
Wife
Spouse
Religion
Other details from the register
Notices
Birth Spouse B
Registry office
Register number

Denmark

Address
Middle name(s)
Personal identification number
Place of registration of birth
Middle name(s)
Personal identification number
Place of registration of birth

Estonia

Person's name
Position
Signature
Seal or stamp.
Marriage certificate, registered at an Estonian vital statistics office
Authority that registered the marriage
Other data
No other data
Marriage terminated
Source document
Personal identification code
Personal identification code

Greece

Prefecture
Municipality
Street
Telephone
Details of marriage registration act (number/volume/year)
Date of declaration
Declarant (husband or wife)
Time
Type
Denomination
Municipality
Municipal/local community
Surname of children
Male
Country of birth
City/town of birth (abroad)
Municipality of birth
Municipal/local community of birth
Father’s forename
Mother’s forename
Father’s surname
Mother’s surname
Nationality
Religion
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
Population register
Population register number
Tax identification number
Social security number
Social security bodies
Degree of marriage
Female
Country of birth
City/town of birth (abroad)
Municipality of birth
Municipal/local community of birth
Father’s forename
Mother’s forename
Father’s surname
Mother’s surname
Nationality
Religion
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
Population register
Tax identification number
Population register number
Social security number
Social security bodies
Degree of marriage
INFORMATION ON DECLARANT
Forename
Surname
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
The declarant and
COMMENTS

Spain

Civil Register in which it is entered/volume/page
Time of celebration of marriage
Place of birth/province/country
Name and surnames of parent A
Name and surnames of parent B
Civil Register in which birth is entered/volume/page
Marital status
Address/province/country
Nationality
National identity card
Place of birth/province/country
Name and surnames of parent A
Name and surnames of parent B
Civil Register in which birth is entered/volume/page
Marital status
Address/province/country
Nationality
National identity card

Finland

Visitor address
Postal address
Place and postal code
Telephone number
Place of issue
The details given above correspond to the data recorded in the population information system
According to Section 38 of Government Decree 128/2010, the extract may be signed electronically.
Previous surnames
Previous surnames (after the age of 15)
Current surname
Previous forenames
Previous forenames (after the age of 15)
Forename normally used
Is alive
Died, date of death (dd/mm/yyyy)
Municipality of residence at birth
Abroad
Unknown
Country of birth
Personal identity number
Citizenship
Stateless
Not yet determined
Unknown
Civil status
Single
Married
Separated
Divorced
Widow/widower
Registered partner
Divorced from registered partnership
Widowed from registered partnership
No data
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Marriage number
Main place of residence
Date of move (dd/mm/yyyy)
Previous surnames
Previous surnames (after the age of 15)
Current surname
Previous forenames
Previous forenames (after the age of 15)
Forename normally used
Is alive
Died, date of death (dd/mm/yyyy)
Municipality of residence at birth
Abroad
Unknown
Country of birth
Personal identity number
Citizenship
Stateless
Not yet determined
Unknown
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Marriage number
Main place of residence
Date of move (dd/mm/yyyy)

France

Surname(s) of the local registrar who issued the marriage certificate
First name(s) of the local registrar who issued the marriage certificate
Time (hh:mm) when the marriage certificate was issued
Place and country of birth
Occupation
Domicile
Residence
Father’s surname(s)
Father’s first name(s)
Father’s occupation
Father’s domicile
Mother’s surname(s)
Mother’s first name(s)
Mother’s occupation
Mother’s domicile
Surname(s) of adoptive parent
First name(s) of adoptive parent
Father’s and/or mother’s consent (if required)
Consent of grandfather(s) and/or grandmother(s) (if required)
Consent of the family council (if required)
Surname(s) of former spouse
First name(s) of former spouse
Place and country of birth
Occupation
Domicile
Residence
Father’s surname(s)
Father’s first name(s)
Father’s occupation
Father’s domicile
Mother’s surname(s)
Mother’s first name(s)
Mother’s occupation
Mother’s domicile
Surname(s) of adoptive parent
First name(s) of adoptive parent
Father’s and/or mother’s consent (if required)
Consent of grandfather(s) and/or grandmother(s) (if required)
Consent of the family council (if required)
Surname(s) of former spouse
First name(s) of former spouse
Declaration of intent to marry and pronouncement of marriage
Surname(s) of first witness
First name(s) of first witness
Occupation of first witness
Domicile of first witness
Surname(s) of second witness
First name(s) of second witness
Occupation of second witness
Domicile of second witness
Surname(s) of third witness (if applicable)
First name(s) of third witness (if applicable)
Occupation of third witness (if applicable)
Domicile of third witness (if applicable)
Surname(s) of fourth witness (if applicable)
First name(s) of fourth witness (if applicable)
Occupation of fourth witness (if applicable)
Domicile of fourth witness (if applicable)
Date (dd/mm/yyyy) of the marriage contract, surname(s) and place of residence of the notary who received the marriage contract (if applicable)
Act designating the law applicable to the matrimonial property regime, in accordance with the Hague Convention of 14 March 1978 on the Law Applicable to Matrimonial Property Regimes, date (dd/mm/yyyy) and place where the act was signed, name and position of the person who issued the act (if applicable)
Main information: divorce (surname(s) and first name(s) of the former spouse, date (dd/mm/yyyy), nature of the decision or certificate and name of the authority), legal separation (surname(s) and first name(s) of the other spouse, date (dd/mm/yyyy), nature of the decision and the court which ruled on the separation), dissolution of the marriage by annulment (date (dd/mm/yyyy), nature of the decision and the court which annulled the marriage), change of matrimonial property regime (date (dd/mm/yyyy) of the notarial act or decision, name and position of the person who issued the act or nature of the decision and the court which ruled on the change of matrimonial property regime)
Other information

Croatia

Surname and forename of the official who issued the certificate
Function of the official who issued the certificate
Place of issue
Registration district
District in which the marriage was registered
Year of registration
Serial number under which the marriage was registered
OIB (Personal Identification Number) of groom
Place of birth of groom
Ethnicity of groom
Nationality of groom
OIB (Personal Identification Number) of bride
Place of birth of bride
Ethnicity of bride
Nationality of bride
Notes
Code number
Place of issue

Hungary

Place of issue
Series
Name of the official who issued the extract from the civil status register
Position of the official who issued the extract from the civil status register
Unique civil status register electronic identifier
Forename(s) at birth
Place of birth
Unique civil status register electronic identifier
Forename(s) at birth
Place of birth
Notes

Ireland

Registered in the Registrar's Office
Superintendent Registrar's Registration Area
County
Date of Registration
Issued in Pursuance of the Civil Registration Act 2004
Certified to be compiled from a register maintained under section 13 of the Civil Registration Act 2004
To alter this certificate or to use it as altered is a serious offence
Issued by
Marriage Solemnised at
According to
Signed by
Party 1
Party 2
Witness 1
Witness 2
Solemniser
Other Surnames
Age
Address
Future Address
Occupation
Civil Status
Mother's Forename & Birth Surname
Father's Forename & Birth Surname
Other Surnames
Age
Address
Future Address
Normal Residence before Marriage
Occupation
Civil Status
Mother's Forename & Birth Surname
Father's Forename & Birth Surname

Italy

Certificate of record of marriage from civil status registers
Certificate of marriage based on entry in population register
Extract of record of marriage from civil status registers
Place of issue
First name and surname of official who drew up the record
Time of marriage
Place of birth
Details on birth certificate
Residence
Nationality
Annotations
Place of birth
Details on birth certificate
Residence
Nationality
Annotations
Place of issue

Lithuania

Job title
Signature
Forename and surname of official
Stamp
Extract confirming the record of marriage
The extract confirming the record of marriage is correct
Comments
INFORMATION CONCERNING THE SPOUSES
HE
Place of birth
Personal identification number
Citizenship
SHE
Personal identification number
Place of birth
Citizenship
RECORD OF MARRIAGE
Name of civil registry or consular office
Date (dd/mm/yyyy)
Number
Place of completion
Code of civil registry or consular office

Luxembourg

Signature and seal of depository
Place and country of issue
Place and country of birth
Place and country of birth
DISSOLUTION OF THE MARRIAGE
Reason for the dissolution
Divorce
Annulment
Legal separation
Date of the court decision
Judgment of dd/mm/yyyy
Appeal judgment of dd/mm/yyyy

Latvia

Personal identification number
Place of birth
Country of citizenship
Personal identification number
Place of birth
Country of citizenship
INFORMATION ON REGISTER OF MARRIAGES
Registration authority
Date of registration
Entry number in register

Malta

Date of the Act
Curia No.
MR No.
Declaration of the husband and wife
Declaration of the spouses
We the undersigned hereby declare that we have in the presence of (…)
and of the undermentioned witnesses contracted marriage at (…)
The above declarations were signed in my presence.
Parish
Declaration of officiating minister
I, the undersigned, Officiating Minister / Parish Priest / Delegate, hereby declare that the undermentioned and undersigned spouses, in the presence of the witnesses also undermentioned and undersigned, were by me requested to give, and gave, their consent and were united in marriage according to the laws and rites of the Catholic Church
We the undersigned hereby declare that we have in the presence of (parish priest / officiating minister) and of the witnesses above mentioned contracted marriage at (Church) on (Date)
I the undersigned (the wife) declare that I choose to: adopt the surname of my husband/ retain my maiden surname after marriage/adopt the surname of my predeceased spouse. (delete where not applicable).
We the undersigned hereby declare that we choose to adopt for both of us the surname of one of the parties to the marriage/adopt for both of us the surnames of the two parties in the marriage in this order/to retain our current surname after marriage. (delete where not applicable)We the undersigned hereby declare that we choose - as our Family Name that shall be the surname of any future children.
We the undersigned hereby declare that we choose … as our Family Name that shall be the surname of any future children
After I read out this Act to the spouses and the witnesses, they signed
Husband’s Signature
Signature of the spouse
Wife’s Signature
Signature of the spouse
Witnesses’ Signatures
Signature of Marriage Registrar
Signature of Officiating Minister
Date of the receipt of the Act.
Progressive number of Registration No.
Signature of Director or other officer authorized to act in his stead.
Parish Seal
Annotations / Addenda
Particulars of the witnesses
Witness 1
Name and Surname
Date and Place of Birth
Place of Residence
Witness 2
Name and Surname
Date and Place of Birth
Place of Residence
Witness 3
Name and Surname
Date and Place of Birth
Place of Residence
Witness 4
Name and Surname
Date and Place of Birth
Place of Residence
Place of birth
Identification document
Place of Residence
Name and Surname of Father, and Name, Surname and Maiden Surname of Mother
Name and surname of parents including surnames at birth
Place of birth
Identification document
Place of Residence
Name and Surname of Father, and Name, Surname and Maiden Surname of Mother
Name and surname of parents including surnames at birth

Netherlands

This extract contains information relating to the original
Place of issue
Name of registrar
Signature
Place of birth
Place of birth
OTHER ENTRIES
Date and place of divorce
Date and place of dissolution
Date and place of annulment
Date and place of conversion

Poland

The copy is consistent with the wording of marriage certificate No
Forename, surname and position of the person who issued the document
Place where the document was drawn up
Stamp duty
not subject
exempt
collected
Surnames of any children from this marriage
Place of birth
Parents’ details
Mother
Forename(s)
Surname at birth
Father
Forename(s)
Surname at birth
Current surname if different from married name
Place of birth
Parents’ details
Mother
Forename(s)
Surname at birth
Father
Forename(s)
Surname at birth
Current surname if different from married name
NOTE ON DISSOLUTION OF MARRIAGE OR ITS ANNULMENT, PROOF OF NON-EXISTENCE OF MARRIAGE, LEGAL SEPARATION OR TERMINATION OF SEPARATION
Death of one of the spouses
Death of wife - date of death / discovery of body (dd/mm/yyyy) ..
Death of husband - date of death / discovery of body (dd/mm/yyyy)
Number of death certificate
Divorce
Name of court
Date of court decision (dd/mm/yyyy)
Case reference number
Date on which court decision became final (dd/mm/yyyy)
Annulment of marriage
Name of court
Date of court decision (dd/mm/yyyy)
Case reference number
Date on which court decision became final (dd/mm/yyyy)
Proof of non-existence of marriage
Name of court
Date of court decision (dd/mm/yyyy)
Case reference number ..
Date on which court decision became final (dd/mm/yyyy)
Legal separation
Name of court
Date of court decision (dd/mm/yyyy)
Case reference number ..
Date on which court decision became final (dd/mm/yyyy)
Termination of separation
Name of court
Date of court decision (dd/mm/yyyy)
Case reference number ..
Date on which court decision became final (dd/mm/yyyy)

Portugal

Time of marriage
Comments on the marriage certificate
Dissolved due to death of spouse A/B on … (date)
Dissolved due to divorce on … (date)
Annulled on … (date)
Marriage declared null and void on … (date)
Declared non-existent on … (date)
Legal separation on … (date)
Reconciliation of spouses on … (date)
Conversion of legal separation into divorce on … (date)
Place of birth
Habitual residence
Child of A
Child of B
Place of birth
Habitual residence
Child of A
Child of B

Romania

Marriage certificate No / dated (dd/mm/yyyy)
Registered at (Locality/Embassy/Consulate/County)
Place of birth
Personal Identification Number
Parents’ details
Father’s surname
Father’s first name
Mother’s surname
Mother's first name
Place of birth
Personal Identification Number
Parents’ details
Father’s surname
Father’s first name
Mother’s surname
Mother's first name
REMARKS
Requires official translation
Yes
No

Sweden

National identification No
Citizenship
Place of birth
Middle name
Confidential personal data
National identification No
Citizenship
Place of birth
Middle name
Confidential personal data

Slovenia

Serial number of the document
Personal Identification Number
Place of Birth
Personal Identification Number
Place of Birth
Notes

Slovakia

Marriage certificate
Register of marriages
Place of issue
Full name of registrar
signature
volume
year
Page
Serial number
Personal Identification Number of the groom
Civil status of the groom
Forename of the groom’s father
Surname of the groom’s father
Surname at birth of the groom’s father
Forename of the groom’s mother
Surname of the groom’s mother
Surname at birth of the groom’s mother
Personal Identification Number of the bride
Civil status of the bride
Forename of the bride’s father
Surname of the bride’s father
Surname at birth of the bride’s father
Forename of the bride’s mother
Surname of the bride’s mother
Surname at birth of the bride’s mother
Surname of the children of both spouses
Notes

ANNEX V – CAPACITY TO MARRY


Austria

Other names
Academic qualifications/professional titles
Place of residence
Registration of birth
Last marriage to
dissolved by
dissolved on/in
Last registered partnership with
dissolved by
dissolved on/in
Other names
Academic qualifications/professional titles
Place of residence
Registration of birth
Last marriage to
dissolved by
dissolved on/in
Last registered partnership with
dissolved by
dissolved on/in

Belgium

This certificate is valid for six months from the date of issue
Title of nobility
Pseudonym
National registration number
Civil status
Married
Unmarried
Divorced
Widowed
Date (dd/mm/yyyy) of the marriage/divorce/death
First name(s) and surname(s) of former spouse
This certificate does not determine the capacity of … to marry
Title of nobility
Pseudonym
National registration number
Civil status
Married
Unmarried
Divorced
Widowed
Date (dd/mm/yyyy) of the marriage/divorce/death
First name(s) and surname(s) of former spouse

Bulgaria

Marriage certificate issued to a Bulgarian citizen who married abroad
Civil registrar’s name [forename, family name]
Patronymic
Personal identity number
Family status
Patronymic
Personal identity number
Family status
The certificate is issued for a civil marriage concluded before the competent local authorities in [Country]

Cyprus

ID card/passport number

Czech Republic

Certificate of no impediment to marriage
Personal identification number
Personal status
Single
Divorced
Widowed
Terminated partnership
Residing at
Residing at
The certificate of no impediment to marriage is valid for six months.

Germany

Not stated
Divers
Place of residence (address)
Street and number/PO Box
Place and postal code
Country
Place and number of marriage register
Previous marriage
Name of previous spouse
Authority which dissolved marriage
Date marriage dissolved
Place marriage dissolved
Not stated
Divers
Place of residence (address)
Street and number/PO Box
Place and postal code
Country
Place and number of marriage register
Previous marriage
Name of previous spouse
Authority which dissolved marriage
Date marriage dissolved
Place marriage dissolved

Denmark

Address
Middle name(s)
Personal identification number
Address
Municipality of residence
Marital status
Single
Divorced
Widowed
It is attested that the conditions for marriage between the abovementioned people have been fulfilled.
Comments, including explanations of licences, exemption from probate, foreign marriage certificates or the application of foreign law
Marriage authority
Certificate is only valid for 4 months from date of issuance. Certificate is to be submitted to the marriage authority
Middle name(s)
Personal identification number
Address
Municipality of residence
Marital status
Single
Divorced
Widowed

Estonia

Person's name
Position
Signature
Seal or stamp
Personal identification code
Estonia
Undetermined
Other (specify)
Civil status
Never married
Divorced/Date (dd/mm/yyyy) of divorce
Widowed/ Date (dd/mm/yyyy) of spouse’s death
Undetermined
Place of residence
Street and number
City or town
Country
Date of commencement of residence at place of residence
Date residence in Estonia ended
The Republic of Estonia certifies that there are no hindrances to entering into this marriage.
The Republic of Estonia hereby certifies that no impediments to marriage exist until the date of expiry of residence at the place of residence in Estonia.
The Republic of Estonia hereby certifies that no impediments to marriage exist as of the date of commencement of residence at the place of residence in Estonia.
The Republic of Estonia certifies that no impediments to marriage exist; the person has not resided in Estonia.
Declared country of marriage
This certificate has been issued based on the data in the Estonian Population Registry, and is valid for six months from the date of issue.
Personal identification code
Estonia
Undetermined
Other (specify)
Civil status
Never married
Divorced/Date (dd/mm/yyyy) of divorce
Widowed/ Date (dd/mm/yyyy) of spouse’s death
Undetermined
Place of residence

Greece

Prefecture
pursuant to Article 1370 of the Civil Code, as amended by Law 1250/1982, in conjunction with Article 4 of Presidential Decree 391/1982.
Today, on …(day/month/year, in words and figures), a licence is hereby granted to…(full name), father’s forename: …, mother’s forename: …, mother’s maiden name: …, following the application dated…, to enter into their (first/second) marriage with…, father’s forename:… and mother’s forename…, mother’s maiden name:…, in a civil or religious ceremony at…(city hall or church).

Spain

Place of issue
Name and surnames of parent A
Name and surnames of parent B
Registration of birth in the Civil Register: place, volume, page
Marital status
Address
Validity of the certificate in time

Finland

Place of issue
Name and official capacity of person who issued document
Date on which the examination of the impediments to marriage was requested
State, according to the laws of which the impediments to marriage of the foreign fiancé(e) were examined
Certificate is given to the couple who take it to the marriage ceremony.
This certificate is valid for four months from the date of issue.
Last surname used before marriage
Municipality of residence at birth
Abroad
Unknown
Stateless
Not yet determined
Unknown
Personal identity number
Local registration authority
No registration authority in Finland
Confirmed by the Evangelical-Lutheran Church
Yes
No
Sequence number of marriage
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Civil status
Single
Divorced
Widow/widower
Divorced from registered partnership
Widowed from registered partnership
Membership of a religious community
NB: The above information on the foreign fiancé(e) is based on the individuals’ own declaration.
Last surname used before marriage
Municipality of residence at birth
Abroad
Unknown
Stateless
Not yet determined
Unknown
Personal identity number
Local registration authority
No registration authority in Finland
Confirmed by the Evangelical-Lutheran Church
Yes
No
Sequence number of marriage
Municipality of residence
No municipality of residence in Finland
Civil status
Single
Divorced
Widow/widower
Divorced from registered partnership
Widowed from registered partnership
Membership of a religious community
Further information on the fiancé(e) who is not in Finland’s population information system
Mother tongue
Country of residence
Spouse's declaration of their choice of surname
When requesting an examination of the impediments to marriage, the prospective spouses declared that upon marriage they will adopt a common surname or a common compound surname as referred to in sections 10-13 of the Act on Forenames and Surnames.
According to their declaration
spouse A would have the following surname after marriage
and spouse B would have the following surname after marriage
The surnames declared by the spouses are legally valid and may be entered in the population information system after the wedding.
The surnames declared by the spouses are not legally valid.
The officiant fills in the details of the marriage and communicates them to the population information system (does not apply outside Finland)
Date of marriage
Type of wedding
Church wedding
Civil wedding
Place of marriage
Officiant’s marriage number
Name of witness
The spouses have informed the person officiating at the wedding that they no longer want to change their surnames as declared when requesting an examination of the impediments to marriage. Therefore the spouses' surnames did not change on entering into marriage
Place and date, signature, name in capital letters, official capacity
To be completed by register office or parish that enters details of the marriage in the population information system
Spouse A’s surname after the marriage
Spouse B’s surname after the marriage
Date
Signature or stamp

France

The intention to marry was published as required by the law of the Member State the authority of which issued this document
Additional information: In accordance with the national law of the Member State the signing authority of which issued this public document (Article 171-1 et seq. of the Civil Code), the marriage of a French national and a foreigner, conducted in a foreign country, is valid:- if it was celebrated in accordance with the usual procedures of that country,- if the spouse was physically present during the celebration,- and if the substantive conditions provided for by the personal law of the foreign spouse allowing the celebration of this union are not contrary to French public policy. However, a marriage certificate issued by a foreign authority is only enforceable against third parties in France if it is entered in the French civil status registers (Article 175-1 of the Civil Code).

Ireland

Authorised Person
Issued in
This document is valid for 120 days
This document is valid for 180 days
Passport
Address

Lithuania

Certificate of non-impediment to marriage
Title of the head of the civil registry office
Signature
Forename and surname of official
Stamp
Information about the civil registry office
Addressee
Personal identification number
Place of residence
Family status

Malta

f/Director
The parent
Surname(s)
Forename(s)
The parent who gave birth to the child
Surname(s)
Forename(s)
I the undersigned, certify that, at the request of (…), a search has been carried out in the Indexes of Marriages, Indexes of Civil Unions and Indexes of Cohabitation kept in this Registry from (Year) to (Year) to ascertain whether an Act of Marriage, Act of Civil Union or a registered or declared Cohabitation is registered in this Office under the name of (…), son/daughter of (…) and (…), born in (…) on (Date) and that this search has revealed that no Act of Marriage, Act of Civil Union or registered or declared Cohabitation referring to the said (…) has been registered at the Malta Public Registry.
These records do not include any registrations held at the Public Registry in Gozo.
It is hereby also declared that marriages celebrated prior to the 1st October 1975 were registered in these Islands for record purposes only, and therefore, the attention of all is drawn to the possibility that a marriage contracted prior the said date by the said … may not be registered in this office.

Netherlands

Civil registration service of
Name of registrar
Signature
Habitual residence
Previous marriage with
Dissolved by
On
At
Habitual residence
Previous marriage with
Dissolved by
On
At

Poland

Certificate valid until (dd/mm/yy)
Forename, surname and position of the person who issued the document
Place where the document was drawn up
Stamp duty
not subject
exempt
collected
Surname at birth
Civil status
Never married
Divorced
Widowed
Married
Parents’ details
Mother
Forename(s)
Surname
Surname at birth
Father
Forename(s)
Surname
Surname at birth
Surname at birth

Portugal

Civil status
Child of A
Child of B
Habitual residence
The marriage may take place until … (date)
Civil status
Married
Unmarried
Divorced
Widowed
Other (to be specified)
Child of A
Child of B
Habitual residence

Sweden

National identification No
Registration in national population register
Date
County
Municipality
Confidential personal data
Certificate of no-impediment valid until [date]
National identification No
Registration in national population register
Date
County
Municipality
Confidential personal data

ANNEX VI – MARITAL STATUS


Austria

Other names
Academic qualifications/professional titles

Belgium

This consular certificate was issued on the basis of the information held by the Consulate-General on the date indicated below and is valid until evidence to the contrary. It is issued subject to any decision of the Belgian courts to the contrary.
Title of nobility
Pseudonym
National registration number
Address
Street and number/P.O. box
City and postcode
Country
Legal separation/date (dd/mm/yyyy) of the legal separation
Surname of spouse
Title of nobility
First name(s) of spouse
Surname(s) of former spouse
Title of nobility
First name(s) of former spouse
Surname(s) of deceased spouse
Title of nobility
First name(s) of deceased spouse
Registered partnership/date (dd/mm/yyyy) the partnership was registered
Surname(s) of partner
Title of nobility
First name(s) of partner
Dissolved registered partnership/date (dd/mm/yyyy) of the dissolution of the registered partnership
Surname(s) of partner
Title of nobility
First name(s) of partner

Bulgaria

Certificate of marital status, spouse and children
Civil registrar’s name [forename, family name]
Patronymic
Personal identity number
Information concerning the spouse and children (for 3.2.1.1 only)
Number
Name: [forename, patronymic, family name]
Personal identity number/Date of birth
Spouse/Child
Date of death
Number
Name: [forename, patronymic, family name]
Personal identity number/Date of birth
Spouse/Child
Date of death
Number
Name: [forename, patronymic, family name]
Personal identity number/Date of birth
Spouse/Child
Date of death
Number
Name: [forename, patronymic, family name]
Personal identity number/Date of birth
Spouse/Child
Date of death
Number
Name: [forename, patronymic, family name]
Personal identity number/Date of birth
Spouse/Child
Date of death
Number
Name: [forename, patronymic, family name]
Personal identity number/Date of birth
Spouse/Child
Date of death
Number
Name: [forename, patronymic, family name]
Personal identity number/Date of birth
Spouse/Child
Date of death

Germany

Not stated
Divers
Marriage dissolved (dd/mm/yyyy)

Estonia

Person's name
Position
Signature
Seal or stamp
Personal identification code
Estonia
Undetermined
Other (specify)
Place of residence
Street and number and postal code
City or town
Country
Date of commencement of residence at place of residence
Additional address
Street and number and postal code
City or town
Country
Date additional address became effective
Person’s status
Living
Deceased
No data
Undetermined
Names
Forename(s)
Last name
Date name changed
Document type

Greece

Prefecture
Municipality
Family record number
Former family record number
Municipal unit
Information on: initial member of family record
S/N of family record member
Former S/N of family record member
Member status
Type of entry
Current surname(s)
Forename(s)
Sex:
Father’s forename
Father’s surname
Mother’s forename
Mother’s surname
Mother’s maiden name
Date (dd/mm/yyyy) of birth
Place and country of birth
Settlement of birth
Local or municipal community of birth
Municipal unit of birth
Municipality of birth
Town/city of birth
Prefecture of birth
Nationality
Date on which nationality was acquired
Date of entry in municipal register
Date of removal from register
Reason for removal
Special electoral number
Male register (decentralised administration, municipality, municipal unit, local or municipal community)
Number/year of male register (S/N, year)
Entry in the male register (type of entry)
Information on: spouse/partner
S/N of family record member
Former S/N of family record member
Member status
Type of entry
Current surname(s)
Forename(s)
Sex:
Father’s forename
Father’s surname
Mother’s forename
Mother’s surname
Mother’s maiden name
Date (dd/mm/yyyy) of birth
Place and country of birth
Settlement of birth
Local or municipal community of birth
Municipal unit of birth
Municipality of birth
Town/city of birth
Prefecture of birth
Nationality
Date on which nationality was acquired
Date of entry in municipal register
Date of removal from register
Reason for removal
Special electoral number
Male register (decentralised administration, municipality, municipal unit, local or municipal community)
Number/year of male register (S/N, year)
Entry in the male register (type of entry)
Information on: child
S/N of family record member
Former S/N of family record member
Member status
Type of entry
Current surname(s)
Forename(s)
Sex:
Father’s forename
Father’s surname
Mother’s forename
Mother’s surname
Mother’s maiden name
Date (dd/mm/yyyy) of birth
Place and country of birth
Settlement of birth
Local or municipal community of birth
Municipal unit of birth
Municipality of birth
Town/city of birth
Prefecture of birth
Nationality
Date on which nationality was acquired
Date of entry in municipal register
Date of removal from register
Reason for removal
Special electoral number
Male register (decentralised administration, municipality, municipal unit, local or municipal community)
Number/year of male register (S/N, year)
Entry in the male register (type of entry)
Information on: former spouse/partner / 1st spouse/partner
S/N of family record member
Member status
Type of entry
Current surname(s)
Forename(s)
Father’s forename
Father’s surname
Mother’s forename
Mother’s surname
Date (dd/mm/yyyy) of birth
Place and country of birth
Settlement of birth
Local or municipal community of birth
Municipal unit of birth
Municipality of birth
Town/city of birth
Prefecture of birth
Reason for removal
Register of marriage/registered partnership:
The certificate was issued (reason for issuing):
For any type of legal purpose
Other
Information on marriage
S/N (marriage act)
Volume (marriage register volume)
Year (year of marriage)
Registry (registry of marriage)
Local or municipal community/unit
Municipality
Prefecture
Town/city
Country
Date
Initial member’s degree of marriage
Spouse’s degree of marriage
Information on registered partnership:
S/N (registered partnership act)
Volume (volume in the registered partnership register)
Year (year of registered partnership)
Registry (registry of registered partnership)
Local or municipal community/unit
Municipality
Prefecture
Consulate
Country
Date (date of registered partnership)
Number of initial member’s registered partnership
Number of partner’s registered partnership
Comments
By order of the Mayor The Head of the Municipal Register

Spain

Civil Register: place, volume, page
Name and surnames of parent A
Name and surnames of parent B
Address

Finland

Visitor address
Postal address
Place and postal code
Telephone number
Place of issue
The details given above correspond to the data recorded in the population information system
According to Section 38 of Government Decree 128/2010, the extract may be signed electronically.
Previous surnames
Previous surnames (after the age of 15)
Previous forenames
Previous forenames (after the age of 15)
Forename normally used
Is alive
Died, date of death (dd/mm/yyyy)
Municipality of residence at birth
Abroad
Unknown
Stateless
Not yet determined
Unknown
Personal identity number
Main place of residence
Address of residence
Place and postal code
Date of move (dd/mm/yyyy)
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Mother tongue
Marriage number
Separated
Spouse
Current surname
Previous surnames
Previous surnames (after the age of 15)
Forename(s)
Previous forenames
Previous forenames (after the age of 15)
Forename normally used
Date (dd/mm/yyyy) of birth
Is alive
Died, date of death (dd/mm/yyyy)
Place and country of birth
Municipality of residence at birth
Abroad
Unknown
Sex:
Female
Male
Nationality
Stateless
Not yet determined
Unknown
Personal identity number
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Marriage number

Croatia

Surname and forename of the official who issued the certificate
Function of the official who issued the certificate
Place of issue
OIB (Personal Identification Number)
Time of birth
Ethnicity
Registration district
District in which the birth was registered
Year of registration
Serial number under which the birth was registered
Date of registration
Information on the parents
Information on the father
Forename(s)
Current surname(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
Information on the mother
Surname(s) before the marriage
Forename(s)
Current surname(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
Note: The personal data shown are those entered in the register of births, taking into account any subsequent valid changes
Code number
Place of issue

Hungary

Issuing official
Place of issue
Name and position of competent official
Name and position of issuer
Mother’s name
In a registered partnership
Registered partnership terminated
Surviving partner of a registered partnership
Marriage dissolved
Registered partnership dissolved

Italy

Divorced - date of divorce from spouse or civil partner (dd/mm/yyyy)
Widowed - date of death of spouse or civil partner (dd/mm/yyyy)
Married - in a civil partnership

Latvia

Personal identification number

Netherlands

Place of issue
Name of designated official
Signature
Father
Mother
Address and place of residence
Resident until
Married to
Registered partner/date (dd/mm/yyyy) of the registered partnership
Registered partner of
Divorced from
Widow(er) of
No registered partnership
Divorced registered partner/date (dd/mm/yyyy) of termination/dissolution of the registered partnership
Divorced registered partner of
Surviving registered partner/date (dd/mm/yyyy) of death of registered partner
Surviving registered partner of
Other entries

Poland

Certificate valid until (dd/mm/yy):
Forename, surname and position of the person who issued the document:
Place where the document was drawn up:
Stamp duty:
not subject
exempt
collected
Parents’ details
Mother
Forename(s)
Surname at birth
Father
Forename(s)
Surname at birth

Sweden

National identification No
Registration in national population register
Date
County
Municipality
Confidential personal data
In a registered partnership/Date on which registered partnership began
Widow(er) who was in a registered partnership
Ex-registered partner/Date on which registered partnership dissolved

ANNEX VII – REGISTERED PARTNERSHIP


Austria

Date
Other names
Academic qualifications/professional titles
Place of birth
Other names
Academic qualifications/professional titles
Place of birth

Belgium

Date (dd/mm/yyyy) of the partnership declaration
Title of nobility
Pseudonym
National registration number
Place and country of birth
Title of nobility
Pseudonym
National registration number
Place and country of birth

Cyprus

certificate of civil union
Marital status
Citizenship
Place of residence
Marital status
Citizenship
Place of residence

Czech Republic

Registered partnership certificate
Place of issue
Full name of registrar
Registry office where the registered partnership is registered
Volume
Year
Page
Serial number
Place and country of birth
Personal identification number
Personal status
Forename, surname and surname at birth of parents
Place and country of birth
Personal identification number
Personal status
Forename/s, surname and surname at birth of parents
NOTE

Germany

Surname(s) after dissolution of the registered partnership
Forename(s) at birth
Forename(s) before the registered partnership
Forename(s) during the registered partnership
Forename(s) after dissolution of the registered partnership
Place of birth
Not stated
Divers
Religion
Other details from the register
Notices
Birth, registered partner A
Registry office
Registration number
Surname(s) after dissolution of the registered partnership
Forename(s) at birth
Forename(s) before the registered partnership
Forename(s) during the registered partnership
Forename(s) after dissolution of the registered partnership
Place of birth
Not stated
Divers
Religion
Other details from the register
Notices
Birth, registered partner B
Registry office
Registration number

Denmark

Address…
Middle name(s)
Personal identification number
Place of registration of birth
Middle name(s)
Personal identification number
Place of registration of birth

Greece

Prefecture
Municipality
Street
Telephone
Details of registered partnership certificate (number/volume/year)
Date of declaration
Declarant (Part A or Part B)
Municipal/local community
Contract number
Surname of children
Father’s forename
Mother’s forename
Father’s surname
Mother’s surname
Nationality
Religion
Country of birth
City/town of birth (abroad)
Municipality of birth
Municipal/local community of birth
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
Municipality of registration
Population register number
Tax identification number
Social security number
Social security bodies
Father’s forename
Mother’s forename
Father’s surname
Mother’s surname
Nationality
Religion
Country of birth
City/town of birth (abroad)
Municipality of birth
Municipal/local community of birth
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
Municipality of registration
Population register number
Tax identification number
Social security number
Social security bodies
The declarant and
INFORMATION ON DECLARANT
Forename(s)
Surname
Place of domicile (street, number, postal code, municipal/local community, municipal unit, municipality, prefecture, country)
OBSERVATIONS

Finland

Visitor address
Postal address
Place and postal code
Telephone number
Place of issue
The details given above correspond to the data recorded in the population information system
According to Section 38 of Government Decree 128/2010, the extract may be signed electronically.
Previous surnames
Previous surnames (after the age of 15)
Current surname
Previous forenames
Previous forenames (after the age of 15)
Current forenames
Forename normally used
Is alive
Died, date of death (dd/mm/yyyy)
Municipality of residence at birth
Abroad
Unknown
Country of birth
Personal identity number
Citizenship
Stateless
Not yet determined
Unknown
Civil status
Single
Married
Separated
Divorced
Widow/widower
Registered partner
Divorced from registered partnership
Widowed from registered partnership
No data
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Number of registered partnership
Previous surnames
Previous surnames (after the age of 15)
Current surname
Previous forenames
Previous forenames (after the age of 15)
Current forenames
Forename normally used
Is alive
Died, date of death (dd/mm/yyyy)
Municipality of residence at birth
Abroad
Unknown
Country of birth
Personal identity number
Citizenship
Stateless
Not yet determined
Unknown
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Number of registered partnership

France

Modification date
Date of effect of modification
Date when the partnership was dissolved
partnership dissolved by death
partnership dissolved by marriage
partnership dissolved at the request of at least one of the partners
Date of effect of dissolution

Croatia

Surname and forename of the official who issued the certificate
Function of the official who issued the certificate
Place of issue
Registration district
Year of registration
Serial number under which the partnership was registered
District in which the partnership was registered
OIB (Personal Identification Number)
Place of birth
Nationality
OIB (Personal Identification Number)
Place of birth
Nationality
Notes
Classification number
File reference number
Place of issue

Hungary

Place of issue
Series
Name of the official who issued the extract from the civil status register
Position of the official who issued the extract from the civil status register
Unique civil status register electronic identifier
Forename(s) at birth
Place of birth
Unique civil status register electronic identifier
Forename(s) at birth
Place of birth
Notes

Ireland

Registered in the Registrar’s Office
Superintendent Registrar’s Registration Area
County
Issued in Pursuance of the Civil Registration Act 2004
Certified to be compiled from a register maintained under section 13 of the Civil Registration Act 2004
In accordance with the provision of the Civil Registration Act, 2004
To alter this certificate or to use it as altered is a serious offence
Issued by
Date of Civil Partnership
Signed by
Party 1
Party 2
Witness 1
Witness 2
Registrar
Other Surnames
Address
Future Address
Occupation
Civil Status
Mother
Father
Other Surnames
Address
Future Address
Occupation
Civil Status
Mother’s Forename & Birth Surname
Father’s Forename and Birth Surname

Italy

Certificate of record of civil partnership from civil status registers
Certificate of civil partnership based on entry in population register
Extract of record of civil partnership from civil status registers
Place of issue
First name and surname of official who drew up the record
Time of civil partnership
Place of birth
Details on birth certificate
Residence
Nationality
Annotations
First name and surname of witness
Date of birth of witness
Place of birth of witness
Residence of witness
Place of birth
Details on birth certificate
Residence
Nationality
Annotations
First name and surname of witness
Date of birth of witness
Place of birth of witness
Residence of witness
Place of issue

Luxembourg

Place and country of issue
Place and country of birth
Place and country of birth

Malta

Date Of The Act
MR No.
Declaration of the parties
We the undersigned hereby declare that we have in the presence of
and of the undermentioned witnesses contracted a civil union at
We the undersigned declare that we choose: *to adopt for both of us the surname of one of the parties in the civil union / *to retain our surname after the civil union / *to adopt the surnames of both parties in the civil union in this order. (*delete where not applicable)
Particulars of the witnesses
Witness 1
Name and Surname
Date (dd/mm/yyyy) of birth
Place of birth
Place of Residence
Witness 2
Name and Surname
Date and Place of Birth
Place of Residence
Witness 3
Name and Surname
Date and Place of Birth
Place of Residence
Witness 4
Name and Surname
Date and Place of Birth
Place of Residence
Signature of party to the civil union
Witnesses’ Signature
The above declarations were signed in my presence
Date of receipt of the Act.
Progressive number of Registration No.
Signature of Director or other officer authorized to act
Annotations/Addenda
Place of birth
Identification document
Place of Residence
Name and Surname of Father, and Name, Surname and Maiden Surname of Mother
Place of birth
Identification document
Place of Residence
Name and Surname of Father, and Name, Surname and Maiden Surname of Mother

Netherlands

This extract contains information relating to the original
Place of issue
Name of registrar
Signature
Place of birth
Place of birth
OTHER ENTRIES
Date and place of termination
Date and place of dissolution
Date and place of annulment
Date and place of conversion

Sweden

National identification No
Citizenship
Place of birth
Middle name
Confidential personal data
National identification No
Citizenship
Place of birth
Middle name
Confidential personal data

Slovenia

Serial number of the document
Personal identification number
Place of birth
Personal identification number
Place of birth
Notes

ANNEX VIII – CAPACITY TO ENTER INTO A REGISTERED PARTNERSHIP


Austria

Other names
Academic qualifications/professional titles
Place of residence
Registration of birth
Last marriage to
dissolved by
dissolved on/in
Last registered partnership with
dissolved by
dissolved on/in
Other names
Academic qualifications/professional titles
Place of residence
Registration of birth
Last marriage to
dissolved by
dissolved on/in
Last registered partnership with
dissolved by
dissolved on/in

Cyprus

ID card/passport number

Czech Republic

Certificate of legal capacity to contract registered partnership
Personal identification number
Personal status
Single
Divorced
Widowed
Terminated partnership
Residing at
Residing at
THE CERTIFICATE OF LEGAL CAPACITY TO CONTRACT REGISTERED PARTNERSHIP IS VALID FOR SIX MONTHS.

Germany

Not stated
Divers
Place of residence (address)
Street and number/PO Box
Place and postal code
Country
Previous registered partnership
Name of previous spouse
Authority which dissolved partnership
date of dissolution of partnership
place of dissolution of partnership
Previous marriage
Name of previous spouse
Authority which dissolved marriage
Date marriage dissolved
Place marriage dissolved
Not stated
Divers
Place of residence (address)
Street and number/PO Box
Place and postal code
Country
Previous registered partnership
Name of previous spouse
Authority which dissolved partnership
date of dissolution of partnership
place of dissolution of partnership
Previous marriage
Name of previous spouse
Authority which dissolved marriage
Date of dissolution of marriage
Place of dissolution of marriage

Estonia

Person's name
Position
Signature
Seal or stamp
Personal identification code
Civil status
Date
Place of residence
Street and number and postal code
City or town
Country
Date of commencement of residence at place of residence
Postal address
Street and number and postal code
City or town
Country
Date postal address became effective
Person’s status
Names
First name
Last name
Date
Document type

Ireland

Signature
Certificate of single status
Irish citizen
passport No
issued in
Irish citizen
passport No
issued in

Malta

f/Director
I the undersigned, certify that, at the request of (…), a search has been carried out in the Indexes of Marriages, Indexes of Civil Unions and Indexes of Cohabitation kept in this Registry from (Year) to (Year) to ascertain whether an Act of Marriage, Act of Civil Union or a registered or declared Cohabitation is registered in this Office under the name of (…), son/daughter of (…) and (…), born in (…) on (Date) and that this search has revealed that no Act of Marriage, Act of Civil Union or registered or declared Cohabitation referring to the said (…) has been registered at the Malta Public Registry.
These records do not include any registrations held at the Public Registry in Gozo
It is hereby also declared that marriages celebrated prior to the 1st October 1975 were registered in these Islands for record purposes only, and therefore, the attention of all is drawn to the possibility that a marriage contracted prior the said date by the said … may not be registered in this office.
f/Director

Sweden

National identification No
Registration in national population register
Date
County
Municipality
Confidential personal data
National identification No
Registration in national population register
Date
County
Municipality
Confidential personal data

ANNEX IX – REGISTERED PARTNERSHIP STATUS


Austria

Other names
Academic qualifications/professional titles

Germany

Not stated
Divers

Finland

Visitor address
Postal address
Place and postal code
Telephone number
Place of issue
The details given above correspond to the data recorded in the population information system
According to Section 38 of Government Decree 128/2010, the extract may be signed electronically.
Previous surnames
Previous surnames (after the age of 15)
Previous forenames
Previous forenames (after the age of 15)
Forename normally used
Is alive
Died, date of death (dd/mm/yyyy)
Municipality of residence at birth
Abroad
Unknown
Stateless
Not yet determined
Unknown
Personal identity number
Main place of residence
Address of residence
Place and postal code
Date of move (dd/mm/yyyy)
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Mother tongue
Number of registered partnership
OTHER PARTY TO REGISTERED PARTNERSHIP
Current surname
Previous surnames
Previous surnames (after the age of 15)
Forenames
Previous forenames
Previous forenames (after the age of 15)
Forename normally used
Date of birth (dd/mm/yyyy)
Is alive
Died, date of death (dd/mm/yyyy)
Place and country of birth
Municipality of residence at birth
Abroad
Unknown
Gender
Female
Male
Citizenship
Stateless
Not yet determined
Unknown
Personal identity number
Registration authority
No registration authority in Finland
Municipality of residence
Abroad
Unknown
No municipality of residence in Finland
Number of registered partnership

Luxembourg

Place and country of issue
Marital status
Single
Divorced
Widowed
Address
Street and number/box
Place and post code
Country
INFORMATION ON THE PARTNER OF THE PERSON CONCERNED
Surname(s) at birth
Current surname(s)
Surname(s) before the act
Surname(s) following the act
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
Nationality
Marital status
Single
Divorced
Widowed
Address
Street and number/box
Place and post code
Country
Owing to the termination of the partnership
Term of the partnership from…to…
Owing to the marriage of the partner
Term of the partnership from…to…
Term of the partnership from…to…

Sweden

National identification No
Registration in national population register
Date
County
Municipality
Confidential personal data

Slovenia

Personal Identification Number of partner A
Surname of partner B
Forename of partner B
Personal Identification Number of partner B
Sex
Female
Male
Undetermined
Certificate of dissolution of registered partnership

ANNEX X – DOMICILE AND/OR RESIDENCE


Austria

Academic qualifications
Academic title (prefix)
Academic title (suffix)
Nationality
Travel document (if not an Austrian citizen)
Type of document
Document number
Date of issue
Expiry date
Issuing authority
Issuing State
Registered since
Secondary residence
Address
Street and number/PO Box
Postal code and place
Registered since
Secondary residence
Address
Street and number/PO Box
Postal code and place
Registered since
Secondary residence
Address
Street and number/PO Box
Postal code and place
Registered since

Belgium

This consular certificate was issued on the basis of the information held by the Consulate-General on the date indicated below and is valid until evidence to the contrary. It is issued subject to any decision of the Belgian courts to the contrary.
Title of nobility
Pseudonym
National registration number
Date (dd/mm/yyyy) of registration
Accommodation address
Residence within the consular jurisdiction of this post since (dd/mm/yyyy)
Request for new principal residence for
Place
Date (dd/mm/yyyy) of the request
Declared address abroad
Date (dd/mm/yyyy)
Street and number/P.O. box
City and postcode
Country
Departure declaration
Date (dd/mm/yyyy) of the declaration
Street and number/P.O. box
City and postcode
Country
Residence abroad
Date (dd/mm/yyyy)
Street and number/P.O. box
City and postcode
Country
Consular posting
Place
Country
P.O. box abroad
Date (dd/mm/yyyy)
Street and number/P.O. box
City and postcode
Country
Temporary absence
Date (dd/mm/yyyy)
Legal domicile
Street and number/P.O. box
City and postcode
Country
Long-term missing person
Date (dd/mm/yyyy)
Non-disclosable address
Date (dd/mm/yyyy) of the non-disclosure decision
Date (dd/mm/yyyy) the non-disclosure began
Date (dd/mm/yyyy) the non-disclosure ends
Postal address
Street and number/P.O. box
City and postcode
Country
Previous domicile/residence
Domicile
Street and number/P.O. box
City and postcode
Country
Residence
Street and number/P.O. box
City and postcode
Country

Bulgaria

Certificate of permanent address
Certificate of current address
Civil registrar’s name [forename, family name]
Patronymic
Personal identity number
Issued on date [day, month, year]
Issued on date [day, month, year]

Cyprus

Personal identification number
Father’s name
Father’s surname
Mother’s name
Mother’s maiden name

Czech Republic

Time of issue
APPLICANT
Surname(s)
Forename(s)
Date (dd/mm/yyyy) of birth
Place and country of birth
ID
Address of residence or another contact address
Date of death
Place of death
Nationality
Numbers of electronically readable IDs
Data box ID number
Identification ‘Address of the municipality office’
Address for service
Street and number/PO box
Locality and postcode
CONSENT TO PROVIDE DATA TO OTHER PERSONS
Date of the last change of any data
Place of issue
Serial number

Germany

Surname at birth
Not stated
Divers
ADDITIONAL INFORMATION ON THE PERSON CONCERNED
Doctoral degree
Religious name, pseudonym
MORE THAN ONE DWELLING
Address of second dwelling (s)
Status of the dwelling (designation as principal/second dwelling)

Denmark

Personal identification number
Date of registration of current address

Estonia

Person's name
Position
Signature
Seal or stamp
Personal identification code
Civil status
Married/Date (dd/mm/yyyy) of marriage
Never married
Divorced/Date (dd/mm/yyyy) of divorce
Widowed/ Date (dd/mm/yyyy) of spouse’s death
Undetermined
Nationality
Estonia
Undetermined
Other (specify)
Person’s status
Living
Deceased
No data
Undetermined
Names
Surname(s)
Forename(s)
Date name changed
Document type

Finland

Visitor address
Postal address
Place and postal code
Telephone number
Place of issue
The details given above correspond to the data recorded in the population information system
According to Section 38 of Government Decree 128/2010, the extract may be signed electronically.
Address details have been updated in the population information system since its creation in 1971. For the years 1971-82 the register contains only the person’s last two addresses. From 1983 onwards the system contains all the changes of address the person has notified.
Previous surnames
Previous surnames (after the age of 15)
Previous forenames
Previous forenames (after the age of 15)
Forename normally used
Is alive
Died, date of death (dd/mm/yyyy)
Personal identity number
Civil status
Single
Married
Separated
Divorced
Widow/Widower
Registered partnership
Divorced from registered partnership
Widowed from registered partnership
No data
Date of move (dd/mm/yyyy)
Municipality of residence since (dd/mm/yyyy)
Abroad
Unknown
No municipality of residence in Finland
Previous permanent addresses (dd/mm/yyyy to dd/mm/yyyy)
No entry in population information system
Previous municipalities of residence (dd/mm/yyyy to dd/mm/yyyy)
No entry in population information system
Abroad (dd/mm/yyyy to dd/mm/yyyy)
Unknown (dd/mm/yyyy to dd/mm/yyyy)
No municipality of residence in Finland (dd/mm/yyyy to dd/mm/yyyy)
Temporary address
No entry in population information system
Previous temporary addresses (dd/mm/yyyy to dd/mm/yyyy)
No entry in population information system
Postal address
No entry in population information system
Previous postal addresses (dd/mm/yyyy to dd/mm/yyyy)
No entry in population information system

Croatia

Name of father
OIB (Personal Identification Number)
Date of registration at current residence
Place of issue

Hungary

Official document
Surname(s) at birth
Forename(s) at birth
Mother’s name
Notification date
Notification date
Validity
Address abroad
Address
Street and number/PO box
Place and postal code
Country

Italy

Certificate based on entry in population register
Details on birth certificate
Address
Street name
Building number
Apartment number
Residence in the municipality
Name of municipality
Place of issue

Lithuania

Certificate of declared place of residence
Job title
Signature
Forename and surname of official
Stamp
Information about the document originator
Addressee
Personal identification number
Apartment number
Building number
Sub-district and town/village/hamlet
City
Municipality
Date of the declaration (dd/mm/yyyy)
PLACE OF RESIDENCE OF MINOR CHILDREN DECLARED AT THIS ADDRESS
Forename(s)
Surname(s)
Personal identification number
Date (dd/mm/yyyy) of birth
Date of the declaration (dd/mm/yyyy)
Forename(s)
Surname(s)
Personal identification number
Date (dd/mm/yyyy) of birth
Date of the declaration (dd/mm/yyyy)
Forename(s)
Surname(s)
Personal identification number
Date (dd/mm/yyyy) of birth
Date of the declaration (dd/mm/yyyy)
Forename(s)
Surname(s)
Personal identification number
Date (dd/mm/yyyy) of birth
Date of the declaration (dd/mm/yyyy)
Forename(s)
Surname(s)
Personal identification number
Date (dd/mm/yyyy) of birth
Date of the declaration (dd/mm/yyyy)

Luxembourg

Office for Population (paper version)
Government IT Centre (electronic version)
Certificate, Data extracted from the National Register of Natural Persons in accordance with Article 4 of the Grand-Ducal Regulation of 29 March 2016 concerning certain certificates issued on the basis of the data contained in the National Register of Natural Persons (Mémorial [Luxembourg Official Gazette] A No 52 of 31 March 2016). These data are certified correct unless indicated by an asterisk on a light grey background (*).
Place and country of issue
Marital status
Single
Married
Divorced
Widowed
Legally bound by a registered partnership
Identification number
Nationality
PREVIOUS DOMICILE AND/OR RESIDENCE OF THE PERSON NAMED IN THE PUBLIC DOCUMENT TO WHICH THIS FORM IS ATTACHED
From…to…
Residence
Address
Street and number/box
Place and post code
Country
From…to…
Residence
Address
Street and number/box
Place and post code
Country
From…to…
Residence
Address
Street and number/box
Place and post code
Country
Other previous residences (please give details)

Latvia

Personal identification number
Date of declaration of place of residence
Other address
Street and number/PO box
Place and postcode
Country
Period during which the person can be reached at the other address

Netherlands

Place of issue
Name of designated official
Signature
Other entries

Poland

Place where the document was issued
Validity of certificate
Certificate valid until change of registered residence
Certificate valid until change of registered residence but no later than (dd/mm/yy)
Stamp duty
not subject
exempt
collected
Notary fees
collected
benefits from exemption
Father’s forename
Mother’s forename
Identity document
ID card
passport
other document (please specify)
Issue No and reference No
Type of residence
Permanent residence
Temporary residence until (dd/mm/yyyy)
Municipality
Province

Romania

Parents’ details
Father’s surname
Father’s first name
Mother’s surname
Mother's first name
Date of establishing domicile (dd/mm/yyyy)
Date of establishing residence (dd/mm/yyyy)
Domicile
Address
Street and number/PO Box
Place and postal code
Country
Date of establishing domicile (dd/mm/yyyy)
Domicile
Address
Street and number/PO Box
Place and postal code
Country
Date of establishing domicile (dd/mm/yyyy)
Domicile
Address
Street and number/PO Box
Place and postal code
Country
Date of establishing domicile (dd/mm/yyyy)
Residence
Address
Street and number/PO Box
Place and postal code
Country
Date of establishing residence (dd/mm/yyyy)
Residence
Address
Street and number/PO Box
Place and postal code
Country
Date of establishing residence (dd/mm/yyyy)
Residence
Address
Street and number/PO Box
Place and postal code
Country
Date of establishing residence (dd/mm/yyyy)

Sweden

National identification No
Registration in national population register
Date
County
Municipality
Confidential personal data

Slovenia

Nationality
Date of registration

Slovakia

Title
Personal Identification Number
Building number
Flat number
Part of the municipality
Registration office notes
Registered for permanent/temporary stay
From…to…
Building number
Flat number
Part of the municipality
District
CONFIRMATION IS ISSUED FOR (FORENAME, SURNAME, IDENTITY CARD NUMBER OR NAME AND REGISTERED OFFICE OF LEGAL PERSON)
Date
Stamp
title and full name of official who issued the confirmation
Signature

ANNEX XI – ABSENCE OF A CRIMINAL RECORD IN THE MEMBER STATE OF NATIONALITY OF THE PERSON CONCERNED


Austria

Academic qualifications
Academic title (prefix)
Academic title (suffix)

Belgium

Type of extract
This extract was issued pursuant to Article 595(1) of the Code of Criminal Procedure for a reason other than those provided for in Article 596(1) and (2) of the Code of Criminal Procedure, for which an extract must be issued.
This extract was issued pursuant to Article 596(1) of the Code of Criminal Procedure for the performance of a regulated activity (list of regulated activities available at www.justice.belgium.be).
This extract was issued pursuant to Article 596(2) of the Code of Criminal Procedure for the performance of any activity relating to education, psychological/medical/social support, youth welfare, child protection, entertainment or accompanying children.
Title of nobility
Pseudonym
Alias
National registration number
Reference of the requester
Reasons for the request
Requester
Surname(s)
Title of nobility
Forename(s)
Address
Street and number/P.O. box
City and postcode
Country

Bulgaria

Chairperson/District Judge: [forename, family name]
Official of the criminal records bureau [forename, family name]
Issued by the criminal records office of [town/city] district court-
Valid for six months!
Patronymic
Current address
Mother
Name: [forename, patronymic, family name]
Date (dd/mm/yyyy) of birth
Father
Name: [forename, patronymic, family name]
Date (dd/mm/yyyy) of birth
This document has been issued for

Cyprus

Police – Department for Combating Crime – Criminal Record Office or District Police Directorates
Place of issue

Germany

Not stated
Divers
Address

Estonia

DATA CONCERNING PERSON SUBMITTING QUERY
First and last name, or name of legal person
Personal identification code (if not available, date of birth) or registry code of legal person
Data concerning person who created criminal record entry
Date of creation of criminal record entry
First name, last name and position of person who created criminal record
Signature

Spain

Place of issue
Reason for issuing the document
Document Secure Verification Code
URL for verification of document authenticity

France

Public Document Verification Website

Croatia

Reference number
Purpose for which document issued
Fee paid for issue of document
Name of father
Residential address

Italy

Requested by
Purpose
Date and time of issue
Extract from
Request No
Number of pages

Lithuania

Certificate containing information about a natural person from the Register of Suspects, Accused and Convicts
Job title
Signature
Forename and surname of official
Stamp
Information about the issuing body
Addressee
DATE OF THE INFORMATION FROM THE REGISTER OF SUSPECTS, ACCUSED AND CONVICTS (DD/MM/YYYY)

Luxembourg

Legal entity
Designation
Corporate form
Registered office
Street and number/box
Place and postcode
Country
Notes relating to point 4.1

Latvia

Extract from current Criminal Records Register database and database archives
Period for which extract obtained
Extract from current Criminal Records Register database
Extract from Criminal Records Register database archives
Period for which extract obtained

Malta

Certificate of conduct
Commissioner of Police

Romania

Series and number of the official document
Last domicile of the person
Purpose for issuing the criminal record certificate

Slovakia

Time of issue
Application No
Number of pages