7 Canning Rise, Singapore 179869. Tel: (65) 63370207 Fax: (65) 63371908. Email: mccy_romm@mccy.gov.
sg
Website: www.romm.gov.sg
LLE
ETTTTE
ERRO
OFF C
COON
NSSE
ENNTT FFR
ROOM
MWWA
ALLII
I of Passport/NRIC number
and who is currently residing in
is the and the lawful Wali to Ms
(Walis relationship to bride)
of Passport/NRIC number , and do hereby give my consent for her to
marry to Mr of Passport/NRIC number .
The marriage will be solemnized on her accord.
Signature of Declarant:
Name:
Date:
The above consent is declared in the presence of:
1st Witness 2nd Witness
Name: Name:
Passport/NRIC No.: Passport/NRIC No.:
Signature: Signature:
Date: Date:
Declared before me at this day of
(Name of institution)
Name of Public / Legal Officer or Commissioner for Oaths:
Signature and office seal: