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Holder:
Registration Date:
Divorce Certificate No.:
Remarks:
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| Name: | Gender: |
| Nationality: | Date of Birth: |
| ID No.: |
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| 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:
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