APPLICATION FOR DIVORCE REGISTRATION

SUPPORTING DOCUMENTS REQUIRED:

Two copies (notarized) of:

Husband:
Full Name (Arabic & English): ---------------------------------------------------------------------------
Father's Name: ---------------------------------------------------------------------------
Mother's Maiden Name: ---------------------------------------------------------------------------
Place & Date of Birth: ---------------------------------------------------------------------------
Place & Number of registry in Lebanon (District & Caza): -------------------------------------------
Religion: -----------------------------------------------------------------------------------
 

Wife:
Full Name (Arabic & English): -------------------------------------------------------------------------------
Father's Name: -------------------------------------------------------------------------------
Mother's Maiden Name: -------------------------------------------------------------------------------
Place & Date of Birth: -------------------------------------------------------------------------------
Place & Number of registry in Lebanon (District & Caza)if Lebanese: -------------------
Religion: -----------------------------------------------------------------------------------
 

City & State of divorce:-----------------------------------------------Date of divorce:-----------------
License No. & Date: -----------------------------------------------------------------------

Applicant's address, telephone number in the U.S.A.: ------------------------------------------------------------------------------------

Date and Signature of Applicant: ---------------------------------------------------------