Translation of divorce certificate

Ukraine

State Emblem

 

DIVORCE CERTIFICATE

 

The marriage between husband

and wife

—-

is dissolved and this was registered in the civilian registry book, record # from —-

Last name given after divorce:
to him:
to her:

Place of registration: registry office of Municipal Administrationof Justice —.

State authority that issued the certificate: registry office of Municipal Administrationof Justice of —-.

The certificate is given to citizen

Data of issue:

 

 

Signature of the head of the

registry office: signature          

 

Round official seal

Ministry of Justice of Ukraine

registry office of municipal Administration of Justice of —-

Series—       #