Holder:

Registration Date:

Divorce Certificate No.:

    Remarks:

Name:

Gender:

Nationality:

Date of Birth:

ID No.:

Name:

Gender:

Nationality:

Date of Birth:

ID No.:

(seal of Ministry of Civil Affairs of the People’s Republic of China)

Ministry of Civil Affairs of the People’s Republic of Chin

This is to certify the couple’s divorce application in accordance with the Marriage Law of People’s Republic of China.

Marriage Registrar:

Issued by: