APPLICATION FOR ECCLESIASTICAL MARRIAGE PERMIT (EMP)

Part I : Applicant's Information

Full Legal Name (First middle Last)

Date of Birth

Place of Birth

Nationality (List all nationalities concurrently possessed)

Occupation

Current Residence Address

Phone number

Email

Immigration Status in country of residence

Denomination

Diocese

Bishop

Parish Church

Father Confessor and his church

Current Marital Status

Part II SPOUSE INFORMATION:
The other party subject to this application

Full Legal Name (First middle Last)

Date of Birth

Place of Birth

Nationality (List all nationalities concurrently possessed)

Occupation

Current Residence Address

Phone number

Email

Immigration Status in country of residence

Denomination

Diocese

Bishop

Parish Church

Father Confessor and his church

Current Marital Status

Part III FAMILY INFORMATION:
Children names and birth dates

Full Name (First middle Last)

Date of Birth

Full Name (First middle Last)

Date of Birth

Full Name (First middle Last)

Date of Birth

Part IV MARRIAGE INFORMATION:

Date of Church Marriage

Officiating Priest

Church

Priests involved in marital conciliation or counselling

Date of Separation

Date of Civil Divorce

Name and place of court

Date of all previous civil marriages, if any

Location of each civil marriage

Part V CASE SUMMARY:
Please provide a summary of your case detailing the grounds you believe will entitle you to an ecclesiastical marriage permit (EMP)

Part VI SUPPORTING DOCUMENTS AND CERTIFICATES:
Please provide a list of your documents as set out below. The following documents must be disclosed:
- Civil marriage certificate
- Church marriage certificate
- Civil divorce decree
All other documents must support the grounds for your application for an EMP, as mentioned above.

Document Name

Document Description

Document Name

Document Description

Document Name

Document Description

Part VII DECLARATION:

I, before Almighty God, state that all information submitted to the Clerical Council for Family Affairs - Americas District contained in and pertinent to this application, is true and complete to the best of my knowledge.

Part VIII AUTHORIZATION, RELEASE and WAIVER:

I hereby authorize the Clerical Council for Family Affairs - Americas District (hereinafter "the Council") to disclose and discuss all or part of the information and documents, which I voluntarily submitted in my application to the Council, to my spouse, as named and identified in my application, to the Coptic Orthodox priests assigned to assist the Council deems necessary in order to determine my eligibility or ineligibility for a remarriage permit. I agree to release and hold harmless the Council, its members and assignees, from any and all claims of action or damages of any kind arising from, or in any way connected to, the release or use of any information or records pursuant to this Waiver.

I consent to the conditions of the Council and waive any and all rights to obtain and/or use the case file and all related documents, recordings and notes which are the sole possession of the Council. The Council retains all files in full confidentiality and shall not disclose said evidence to any administrative tribunal or court of law. The Council will not release documents under any condition pursuant to the guidelines of ecclesiastical confidentiality and religious privilege.

I understand that all decisions of the Council are final and conclusive and not subject to judicial review. I agree to release and hold harmless the Council, its members and assignees, from any and all claims of action or damages of any kind arising from, or in any way connected to, the decision rendered in regards to my application.

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