Applicant

Your Details

Your First Name(s)(*)

Please provide your first name (or names if you have more than one)

Your Last Name(*)

Please provide your current last name

Your Maiden Name (if applicable)

Please provide your Maiden Name

Your Email Address(*)

Please check your email address

Your Phone Number(*)

Please provide your full phone number including the area code

Your Date of Birth

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Your Address(*)

Please provide your current address

Your Eircode(*)

Please provide your Eircode

Your current Occupation

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Your religion(*)

Please provide your religion or type "no religion"

Date of Baptism

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Name of church where you were baptised

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Have you been married before?

YesNo

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Respondent

Details of the person you married

First Name(s)(*)

Please provide the first name (or names if there is more than one)

Last Name(*)

Please provide the current last name

Maiden Name (if applicable)

Please provide the Maiden Name

Phone Number

Date of Birth

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Address(*)

Please provide the respondent's current address

Eircode

Please provide the Eircode

Religion(*)

Please provide religion or type "no religion"

Date of Baptism

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Name of church where the respondent was baptised

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Has the person you married been married before?

YesNoDon't Know

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General Details

Date courtship began (approximate)

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Date of engagement

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Was the engagement broken off?

YesNo

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Did you attend a pre-marriage course?

YesNo

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Date of Marriage(*)

Please provide the date of your marriage

Place of Marriage(*)

Please provide the place of the Marriage

Were there any temporary separations?

YesNo

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Was help sought from counsellors?

YesNo

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Date of Final Separation

Names and Dates of Birth of Children

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Who has custody of the children?

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Application for a decree of nullity

Applicant

Your Details

Respondent

Details of the person you married

General Details

Present Situation