Event Registration
Email address *
Phone *
include country & city codeeg+ 61 3 87654321
Fax
include country & city codeeg+ 61 3 87654321
Alternative email contact
GROOM
Name *
Nationality *
Place of birth *
Date of birth *
MM
/
DD
/
YYYY
Religion *
Occupation *
Local address (in Bali)
Permanent address *
Have you been married before *
Name of ex-wife
Children from previous marriage
FATHER OF GROOM
Name *
Place of birth *
Date of birth *
MM
/
DD
/
YYYY
Religion *
Occupation *
Permanent address *
MOTHER OF GROOM
Place of birth *
Date of birth *
MM
/
DD
/
YYYY
Religion *
Occupation *
Permanent address *
BRIDE
Name *
Nationality *
Place of birth *
Date of birth *
MM
/
DD
/
YYYY
Region
Occupation *
Local address (in Bali)
Permanent address *
Have you been married before?
Clear selection
Name of ex-husband
Children from previous marriage
FATHER OF BRIDE
Name *
Place of birth *
Date of birth *
MM
/
DD
/
YYYY
Religion *
Occupation *
Permanent address *
MOTHER BRIDE
Name *
Place of birth *
Date of birth *
MM
/
DD
/
YYYY
Religion *
Occupation *
Permanent address *
FIRST WITNESS
Witnesses may not be immediate family such as parents, brothers or sisters.
Name
Nationality
Occupation
Permanent address
SECOND WITNESS
Witnesses may not be immediate family such as parents, brothers or sisters.
Name
Nationality
Age
Religion
Occupation
Permanent Address
FLIGHT DETAILS
Arrival
MM
/
DD
/
YYYY
Time
:
Departure
MM
/
DD
/
YYYY
Time
:
IMPORTANT
If Bride and Groom's religion are different what is your preferred religious ceremony?
Date of Wedding *
MM
/
DD
/
YYYY
Do you have venue in mind
Or if you did not find your venue of choice above please enter here
Or select type of environment you think you would like
What type of ceremony would you like
Submit
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