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Department of Internal Affairs – Te Tari Taiwhenua

Application for Appointment as an Independent Marriage Celebrant and/or Civil Union Celebrant
Good character

Last updated 09 November 2023

Two referees are required.

Applicant's personal details

Your current full name ^
Your full name at birth, if different from above ^
Date of birth (dd Month yyyy, for example 1 January 1950) ^
Place of birth ^
Country of birth (if not NZ) ^

A person (other than a family member) over the age of 16 years of age must complete and sign below:

I,
Referee's full name ^
have known the applicant for
Number of years ^
years and declare that they are a person of good character.
I fully support their application to be an independent celebrant. 

Referee's signature ^
Date signed (dd/mm/yyyy) ^
Referees contact information
Daytime phone number or email address ^