Both of us hereby make the following solemn declaration for our divorce registration application:
Name (male): Nationality:
Date of Birth: (DD/MM/YY) Ethnic group: Occupation:
Educational background: ID card number:
Registered permanent residence:
Name (female): Nationality:
Date of Birth: (DD/MM/YY) Ethnic group: Occupation:
Educational background: ID card number:
Registered permanent residence:
We made the registration for marriage on (DD/MM/YY). The registration number of our marriage certificates is . Now we apply for divorce due to .
We apply for divorce at our free will and have signed the divorce agreements after reaching a consensus on issues of children bringing-up, property and liability.
We swear that all the information given in this declaration is true, and accept all the legal responsibilities for any falsehood.
Declared by: Date: (DD/MM/YY)
Date: (DD/MM/YY)
Witnessed by: Date: (DD/MM/YY)
(Note: The declarer should sign this declaration in the presence of the witness.)