*** Transcriber's Note: Please set your voice synthesiser to read most punctuation. When you encounter the caret sign at the end of a line, please enter the applicable information, if necessary. *** Internal Affairs Te Tari Taiwhenua BDM59 Panui mo tetahi marena e marohitia ana He huringa o te piringa mai i te hononga a-ture Notice of Intended Marriage Change of relationship from civil union Notice number Sign this application in person before a Registrar of Marriages and post it with fee to BDM Licence Application, Department of Internal Affairs, PO Box 10526, Wellington 6140. What you need to know • You need to arrange your licence more than 3 working days before you get married. It expires after 3 months. • Only one of you needs to complete the application, but you need information about both of you. • It costs $150 for a marriage licence or $240 for a registry marriage. • One of the parties must sign the application personally before a Registrar of Marriages and make the required statutory declaration. • You may be required to provide evidence of the dissolution of the most recent marriage or civil union of each of the parties, if any. • You must complete all applicable fields. When you need to use a paper form • Entering a civil union, or • Changing your civil union to a marriage, or vice versa, or • Aged 16 or 17 years old, or • Giving notice in NZ to get married in the United Kingdom. For more information refer to www.govt.nz/bdm. Take care completing this statutory declaration as you may be required to do it again if there are errors SECTION 1: Notice details Notice No. Notice is given that the parties named below intend to marry at either. Full address of place where marriage is to be solemnised ^ or at the alternative address ^ on date or approximate date of marriage (DD/MM/YYYY) ^ . Note that A marriage licence is valid for 3 months only Full name of Marriage Celebrant ^ Denomination or organisation (if applicable) ^ Parties to marriage. Your daytime phone number(s) if we need to contact you about this form ^ Your email address ^ Headings for Copy of Particulars and certificates/printouts of this marriage. Bride/Bridegroom/Partner descriptions. Each party must choose one description of either bride, bridegroom or partner according to each party's wishes. Party one's details. Bride Yes or No ^ Bridegroom Yes or No ^ Partner Yes or No ^ Current first and middle name(s) ^ Current surname or family name ^ First and middle name(s) at birth (if different from above) ^ Surname or family name at birth (if different from above) ^ Sex ^ Full date of birth (DD/MM/YYYY) ^ If you are aged under 18 attach a consent from a Family Court Judge. Place of birth (town/city, and country if not New Zealand) ^ Usual occupation, profession or job ^ Usual residential address in full. Include: flat number (if applicable) ^ street number and name ^ suburb or rural locality ^ city, town or district ^ country (if not New Zealand) ^ Parents. Legal parents. Parties must include the details of their legal parents. If including details about same-sex parents, those must be the details of the party's adoptive parents, or the person's mother and her female spouse or partner where the circumstance in paragraph (b) of the following section ("Other parent") applies. Other parent. If a child was born as a result of an assisted human reproduction procedure (such as artificial insemination): a. if the mother married, or entered into a civil union or de facto relationship with, a man who consented to the mother undergoing the procedure, that man's details should be entered as the Father. b. if the mother married, or entered into a civil union or de facto relationship with a woman who consented to the mother undergoing the procedure, the mother's partners details can be entered as either Mother or Other parent, as per her preference. Mother Yes or No ^ Father Yes or No ^ First and middle name(s) ^ Surname or family name ^ Surname or family name at birth (if different from above) ^ Father Yes or No ^ Mother Yes or No ^ Other parent Yes or No ^ First and middle name(s) ^ Surname or family name ^ Surname or family name at birth (if different from above) ^ Party 2 to marriage Bride/Bridegroom/Partner descriptions. Each party must choose one description of either bride, bridegroom or partner according to each party's wishes. Party two's details. Bride Yes or No ^ Bridegroom Yes or No ^ Partner Yes or No ^ Current first or given name(s) ^ Current surname or family name ^ First or given name(s) at birth (if different from above) ^ Surname or family name at birth (if different from above) ^ Sex ^ Full date of birth (DD/MM/YYYY) ^ If you are aged under 18 attach a consent from a Family Court Judge. Place of birth (town/city, and country if not New Zealand) ^ Usual occupation, profession or job ^ Usual residential address in full. Include: flat number (if applicable) ^ street number and name ^ suburb or rural locality ^ city, town or district ^ country (if not New Zealand) ^ Parents. Mother Yes or No ^ Father Yes or No ^ First or given name(s) ^ Surname or family name ^ Surname or family name at birth (if different from above) ^ Father Yes or No ^ Mother Yes or No ^ Other parent Yes or No ^ First or given name(s) ^ Surname or family name ^ Surname or family name at birth (if different from above) ^ SECTION 3: After your ceremony Where will you and your partner live once you are married? If you are on the New Zealand Electoral roll, the Electoral Commission will contact you for details of any changes (e.g. your surname) after your marriage. This helps to keep the Electoral roll up to date. Street number and name ^ Suburb ^ Postcode ^ Town/city ^ Country (If not NZ) ^ SECTION 4: Current civil union Place of civil union (Including country if not in New Zealand) ^ Date of civil union ^ SECTION 5: Statutory declaration To be completed in front of the Registrar (Refer to the list at the end of this form) I solemnly and sincerely declare: (1) that the information provided in this notice is true; and (2) that I believe that the marriage is not prohibited by section 15 of the Marriages Act 1955**; and (3) that , ^ being under the age of 18 years, the consent required by law to intended marriage have been given; and (4) that there is no lawful impediment to the intended marriage. (5) that the above parties are in a civil union each other and wish to change the form of relationship from a civil union to a marriage. And I make this solemn declaration conscientiously believing the same to be true by virtue of the Oaths and Declarations Act 1957. Declared at (town and city) ^ This date of ^ Signature of party giving notice ^ Signature of Registrar of Marriages ^ Print full name of Registrar of Marriages ^ Print full name of party giving notice ^ * Only some types of overseas relationships are recognised as civil unions in New Zealand. ** Section 15 of the Marriage Act 1955 referred to in the statutory declaration and the schedule of Forbidden Marriages are printed on the back of this form. Marriage licence fee and delivery Select ONE box below for each of the options given The type of ceremony you are having is a: $150 Marriage licence for a personalised ceremony Yes or No ^ (Your celebrant may charge an additional fee. BDM does not set the level of that fee) $150 Registry marriage ceremony - Available from 1 July 2019 Yes or No ^ (You will need to pay an additional $90 directly to your celebrant) Delivery name ^ Street number and name ^ Postcode ^ Town/city ^ Suburb ^ Country (If not NZ) ^ How would you like your marriage licence sent? Note: If you are having a registry ceremony your licence will be sent directly to your celebrant. $5 Courier with New Zealand Yes or No ^ FREE Emailed to this address ^ Marriage certificate fee (optional) Your marriage certificate will be sent to you after your ceremony and the marriage is registered Quantity of marriage certificates required ($33.00 each) ^ Shipment of marriage certificate (select ONE box) $0.00 I want the item(s) sent by standard post Yes or No ^ $5.00 I want the item(s) couriered to a New Zealand address Yes or No ^ $15.00 - $30.00 I want the item(s) couriered to an overseas address Yes or No ^ USA: $20 Australia, Asia, Pacific: $15 Rest of world: $30 Europe: $25 Street number and name ^ Delivery name ^ Postcode ^ Suburb ^ Town/city ^ Country (If not NZ) ^ Payment Do not post cash or card Tick ONE box below to specify your payment method. Please charge my credit card (Visa, MasterCard, American Express, Prezzy) ^ Card number ^ Card expiry date ^ Cardholder signature ^ Name on card ^ Locations to sign this form DIA Auckland Office 12- 14 Nicholls Lane Auckland Rotorua District Court 1162 Tutanekai Street Rotorua Tauranga District Court 26 McLean Street Tauranga Whakatane District Court 7 Pyne Street Whakatane Gisborne District Court 1 Customhouse Street Gisborne Hastings District Court 106 Eastbourne Street W Hastings Napier District Court 251 Hastings Street Napier Wairoa District Court 106-108 Queen Street Wairoa Dannevirke District Court 5-7 Gordon Street Dannevirke Levin District Court 9 Bristol Street Levin Ohakune (Ruapehu District Council) 59 Huia Street Taumarunui Palmerston North District Court 486 Main Street East Palmerston North Taihape District Court 10 Tui Street Taihape Taumarunui District Court Miriama Street Taumarunui Whanganui District Court Market Place Whanganui Kaikohe District Court Station Road Kaikohe Kaitaia District Court 13 Redan Road Kaitaia Whangarei District Court 105-109 Bank Street Whangarei Hawera District Court 64-68 Princes Street Hawera New Plymouth District Court Robe Street New Plymouth Hamilton District Court 116 Anglesea Street Hamilton Huntly District Court 4-6 Glasgow Street Huntly Matamata Matamata-Piako District Council Corner Tainui and Tui Street Morrinsville District Court 31 Moorehouse Street Morrinsville Taupo District Court Story Place Taupo Te Aroha Matamata-Piako District Council 4-6 Glasgow Street Thames District Court 505 Queen Street Thames Tokoroa District Court Bridge Street Tokoroa Carterton District Council 50 Halloway Street Carterton Masterton District Court Corner Dixon Street and Park Ave Masterton Ashburton District Court Corner of Baring Square West and Cameron Street Ashburton Christchurch Registry Office Level 1 120 Hereford Street Christchurch Timaru District Court 12-14 North Street Timaru Blenheim District Court 58 Alfred Street Blenheim Nelson District Court 200 Bridge Street Nelson Motueka Arthur Woodcock Accountants 121 King Edward Street Alexandra District Court 4-6 Kelman Street Alexandra Dunedin District Court 1 Dunbar Street Dunedin Queenstown District Court 36 Stanley Street Queenstown Gore District Court 6 Hokonui Drive Gore Invercargill District Court 33 Don Street Invercargill Greymouth District Court 60 Guiness Street Greymouth Westport District Court 11 Wakefield Street Westport Chatham Islands Police Station Waitangi-Tuku Road Chatham Islands Information about your intended marriage What are the legal requirements for all marriage ceremonies? The legal requirements are that: · The marriage must be performed by a Marriage Celebrant at the place(s) specified on the marriage licence; and · The marriage must be performed in the presence of at least two witnesses; and · During the ceremony, and before at least two witnesses, each party must say the words to each other “I AB take you CD, to be my legal wife/husband” or words to similar effect. The couple should say the words to each other rather than answering a question the marriage celebrant asks — although the marriage is still valid if the couple were asked a question; and · Both parties and witnesses must sign the registration forms (Copy of Particulars of Marriage). Both parties must sign the registration forms using their pre-married signatures according to their names on the Marriage Licence. For example, if one party intends to assume the other party’s surname on marriage, they must sign the registration forms using their usual signature. Children may act as witnesses if they understand the importance of the part they take in the recording of the marriage and can demonstrate that understanding in court if later required to do so. What must happen at a registry marriage ceremony? The Marriage Celebrant must officiate at the marriage ceremony. This includes: · The formal identification of the parties named on the marriage licence (the celebrant must be satisfied that the persons about to be joined are in fact those named on the marriage licence); and · The exchange of the marriage vows; and · After both copies of the registration papers (Copy of Particulars of Marriage) have been signed and witnessed, the Marriage Celebrant must return the Registrars copy to the issuing Registry Office within 10 calendar days - the couple keep the other copy; and · The Marriage Celebrant must take all reasonable steps to ensure the marriage is registered with Births, Deaths and Marriages. Persons other than the Marriage Celebrant may be involved in the ceremony by, for instance, reading a poem. There should be no doubt in the eyes of the couple, witnesses and attendees that the marriage ceremony was performed by a Marriage Celebrant. Registry Ceremonies Please be aware if you are considering having a registry ceremony that they are standardised to meet the legislative requirements of getting married, which includes standard marriage vows. There are limitations on the time the ceremony takes (usually 30 minutes), the space for guests and other persons may not generally be involved in the ceremony. Notes Refunds: Refund of marriage licence fees will only be considered in exceptional circumstances. Refunds will not be made if changing from a Registry Office ceremony to a celebrant. Requests for refunds along with supporting evidence should be sent to: Registrar-General, Births, Deaths and Marriages, PO Box 10526, Wellington 6143. Bride / Bridegroom / Partner descriptions: Each party must choose one description of either bride, bridegroom or partner according to each party’s wishes. Parents Legal parents: Parties must include the details of their legal parents. If including details about same-sex parents, those must be the details of the party’s adoptive parents, or the person’s mother and her female spouse or partner where the circumstance in paragraph (b) of the following section (Other parent) applies. Other parent: If a child was born as a result of an assisted human reproduction procedure (such as artificial insemination): A) If the mother married, or entered into a civil union or de facto relationship with, a man who consented to the mother undergoing the procedure, that man’s details should be entered as the Father. B) If the mother married, or entered into a civil union or de facto relationship with a woman who consented to the mother undergoing the procedure, the mother’s partners details can be entered as either Mother or Other parent, as per her preference. Restrictions on marriage Section 15: Marriage of persons within prohibited degrees of relationship void 1) Subject to the provisions of this section, a marriage which is forbidden by the provisions of Schedule 2 shall be void. 2) Any persons who are not within the degrees of consanguinity but are within the degrees of affinity prohibited by the said Schedule 2 may apply to the High Court for its consent to their marriage, and the court, if it is satisfied that neither party to the intended marriage has by his or her conduct caused or contributed to the cause of the termination of any previous marriage of the other party, may make an order dispensing with the prohibition contained in Schedule 2 so far as it relates to the parties to the application and, if such an order is made, that prohibition shall cease to apply to the parties. 3) The Registrar of the court where any order under this section is made shall send a copy in duplicate of the order to the Registrar-General. 4) No marriage not forbidden by the provisions of Schedule 2 shall be void only on the ground of consanguinity or affinity. Schedule 2: Prohibited degrees of marriage 1) A person may not marry the person’s- (a) grandparent: (b) parent: (c) child: (d) grandchild: (e) sibling: (f) parent’s sibling: (g) sibling’s child: (h) grandparent’s spouse or civil union partner: (i) parent’s spouse or civil union partner: (j) spouse’s or civil union partner’s parent: (k) spouse’s or civil union partner’s grandparent: (l) spouse’s or civil union partner’s child: (m) child’s spouse or civil union partner: (n) grandchild’s spouse or civil union partner: (o) spouse’s or civil union partner’s grandchild. 2) The prohibited degrees of marriage apply whether the relationships described are by the whole blood or by the half blood. 3) In this schedule, spouse and civil union partner includes a former spouse or former civil union partner, whether alive or deceased, and whether the marriage or civil union was terminated by death, dissolution, or otherwise. For further information Website: www.govt.nz/bdm Email: bdm.nz@dia.govt.nz Call free: 0800 22 52 52 Overseas: (+64 9) 339 0852 Births, Deaths and Marriages PO Box 10526 Wellington 6140 Privacy Statement: The information sought on this form is collected under the Marriage Act 1955 and is required for a Marriage Registrar to process the marriage licence application. Failure to complete the form could result in the application being declined. A person who makes, or causes to be made, a false declaration on this form will be liable on conviction to a fine or term of imprisonment, or both. If the marriage takes place, the information contained in this form will be transferred to the marriage registration form (the BDM45s) and form the basis of the registration of the marriage in accordance with the Births, Deaths, Marriages, and Relationships Registration Act 2021 (the “BDMRR Act”). If this information is so registered, it will be held on a public register, and may generally be accessed by any person on application (e.g. as a certificate or printout). Births, Deaths, and Marriages may also release it to certain government agencies, as authorised by law. The Privacy Act 2020 provides rights of access to, and correction of, personal information collected on this form. However, the BDMRR Act governs access to registered marriage information. Information about your rights to access and, where appropriate, correct the information, is available by contacting Births, Deaths and Marriages. Last updated 20 November 2023