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Internal Affairs Te Tari Taiwhenua

Application for Appointment as Approved Marriage Celebrant.
Good character.

Two referees are required. Both referees must be over 16 years old and be from outside your organisation. Referees cannot be family members.

Applicants details

Your current full name ^

A person outside the organisation, other than a family member, who is over 16 years of age, must complete and sign

I,
Referees 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 a marriage celebrant.

Referees signature ^
Date signed
DD/MM/YYYY ^
Referees contact information
Daytime phone number or email address ^