7. That in accordance with my appointment, @ trus copy of which is hereto attached, | am
authorized to. perform religious rites
accordance with “my religion or
and services including solemnization of marriages in
religious sect ‘upon the recommendation of
(Gisie te Se, canna and postion of is TScaminancing OR ATET a Ts Teo CAS wea
8 That my\ juisdicfon for the purpose of solemnizing memfagss as authorized by my ~
religion/religicus sect ‘5.
a )
8. That my religion or religious sect operates in the Philippines and in good repute and | am
assigned = to is church, mosque or chapel. situated
in,
Hiss of Cray
Wey aay Saoaaareay emai) Frew
10. That | apply for tegistration as Solemnizing Officer in accordance with Article 7 (2) of the
Family Code of the Philippines promulgated on August 3, 1988 and Administrative Order No. 1,
‘Series of 2007 and request that an authorization fo solemnize marriage be issued to me.
SUBSCRIBED AND SWORN to before me this day of,
in the city/municipality of
Se ae
Doc. No.
Page No.
‘Book No,
Sefies of
Saw oa phaimane ofa aay
SSS ie ee
issued at
(posture coer ia rama oft Parag Ooo)