Archdiocese of Glasgow

Proposed Marriage of:

NAME :.......................................................................................

ADDRESS :................................................................................

Town/city ……………………………………………………… Post Code …………………

TEL. NO. :………………………………………………….

MOB TEL.............................................

EMAIL ………………………………………………………………………………………………………..

TO

NAME: ..............................................................................................

ADDRESS: .......................................... .............................................

Town/city ……………………………………………………… Post Code …………………

TEL. NO :..........................................................................................

MOB TEL.............................................

EMAIL ……………………………………………………………………………………………………………

SECTION 1

•  Proposed date of marriage : ………………………….. District Registrar …………………………

•  Place of Marriage : .. ………………………………………………………………………………………………..

3. Have you ever co ntracted a religious or Civil marriage ?:   ......................

If so, please give:

a. The name of your spouse :.....................................................................

b. Place and date of your marriage: ..........................................................

4. Was this marriage dissolved?   ..................

If so, where, when, how :   ................. .........

  ……………………………...

  ………………………………

4. Ar e you bound by any religious Vow?    ................................................

5. How long have you known your partner? …………………How long engaged ?..........

SECTION 2

1.   Date of birth: ………………………………………………..

  Place of Birth: ……………………………………………….

2.   Religion: ……………………………………………………….

3.   Date of Baptism: ………………………………………….

Place of baptism: …………………………………………

Have you supplied a recent Certificate of Baptism? ………….

4. Length of time at present address : ………………………………….

(Previous addresses and length of stay where you

have lived for SIX months or more as an adult)

………………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………………….

………………………………………………………………………………………………………………………………………….

5. Address after marriage: ……………………………………………………..

  Town/City ……………………………… Post Code ………………………..

6.   Name of your parish after marriage: ………………………………….

•  Name and address of parents or guardians:

……………………………………………………………………………………………………..

8. Have you the consent of your parents or guardians? ……….

   (If appropriate)

9. Occupation: ………………………………………………………………………..

10. Any other relevant information? ………………………………………..

SECTION 3

QUESTIONS TO BE ANSWERED DURING OR AFTER AN APPROPRIATE COURSE OF INSTRUCTION

1. Are you related to your proposed spouse by blood or marriage ? ………………….

(Explain) …………………………………………………………..

2. Are you entering this marriage of your own free will? ……………………………………

i.e . without any pressure on you from parents, partner or anyone else to marry at this time?

3.

(a) Do you realise and accept that marriage is a

union between one man and one woman for life? ……………………………………….

(b) Do you realise and accept that the partnership/bond

that exists between a man and a woman in marriage

cannot be dissolved by any purely human authority? …………………………………

(c) Do you realise and accept that this relationship of

husband and wife in marriage is an exclusive one

which binds each to be faithful to the other until death? …………………………..

(d) Do you realise and accept that the relationship

of husband and wife exists for the development

of mutual love and for the procreation of children? …………………………………

4. Do you then clearly understand and intend to

accept the essential demands and responsibilities of marriage:

( a ) In relation to fidelity, mutual love and support? ……………………………

(b) In relation to children and their upbringing ? …………………………………

5. Have you discussed these demands

and responsibilities with your partner? ………………………………………..

With what result ? ………………………………………………………………………….

6. Do you understand and accept that marriage was

instituted by God and between the baptised has

been given the additional dignity of a Sacrament by Christ? ……………….

I HEREBY DECLARE THAT THE ABOVE ANSWERS I HAVE GIVEN ARE TRUE.

(Signed) __________________________________

Signature of priest ___________________________________

Date: _______________________

Place: Our Lady of Good Counsel, Glasgow