Application for Certificate of marital status https://selvbetjening.familieretshuset.dk/SelfServiceWebsite/submission...

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Application for Certificate of marital status

Information about Part 2

Personal information - Part 2

Summary and signature.

Agency of Family Law - Privacy and conditions (https://www.familieretshuset.dk/

Payment
databeskyttelsespolitik)

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Application for Certificate of marital status https://selvbetjening.familieretshuset.dk/SelfServiceWebsite/submission...

Summary and signature.

Summary of your application

You are now ready to submit your application. If you need to make some changes you
can chose "Edit" on the right side of the summary. When you are ready you must print
out and sign the summary with the Declaration of truth and upload the signed
document.

Purpose of the application

Edit 

How would you like to get married? ?

Civil marriage
Kindly state in what municipality you wish to get married in?
Ærø Kommune
Who is applying?
We fill out for both of us at the same time

I wish to pay the fee as follows: ?

Credit card (Dankort, Visa, Visa Elektron, JCB, MasterCard, American Express)

Information about Part 1

Edit 

Full name:
Gulbert Junior Yiepdjouo Tchotcheu
Nationality?
Another country
What nationality?
Cameroon
I have a dual nationality
CPR number (Only if you have access to your E-boks account)

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Application for Certificate of marital status https://selvbetjening.familieretshuset.dk/SelfServiceWebsite/submission...

Personal ID: ?

Date of birth:
19-02-1995
Email: (Email adresses for Part 1, 2 and 3 must not be identical)
[email protected]
Country code: (mobile number)
+49
Mobile number:
15750452595

Information about part 1

Edit 

Are you exempted from the visa requirement? ?

Yes
Kindly attach documentation for legal residence in Denmark:
Resident permit.pdf
Have you had a different nationality?
No
Where are you domiciled? (We need your domicile, not a temporary address)
Other EU country/EEA State than Denmark including Switzerland
Street name and house number:
Algirdo g.51A, 19
Address continued..
Postal code:
03216
City
vilnius
Country:
Lithuania
Which country are you born in?
Cameroon

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Application for Certificate of marital status https://selvbetjening.familieretshuset.dk/SelfServiceWebsite/submission...

In what city were you born?

Do you have a passport or a personal ID card?
Passport
Kindly state your passport number or ID number:
1139393
When is your passport/ID card issued?
19-06-2020
When does your passport/ID card expire? (if no date stated on the ID please insert
today)
19-06-2025
In what country has your passport/ID card been issued?
Cameroon

Kindly attach color photos or copies in color of all pages in your passport: ?
passeport New.pdf

Personal information - Part 1

Edit 

Have you previously been married/been in a registered partnership?

No

Optional - you can attach civil status certificate here: ?

certificat de célibat .pdf
Are you under guardianship?
No
Are you closely related to the person you wish to get married to as mentioned below?
No
Are you closely related by marriage to the person you wish to get married to as
mentioned below?
No
Is there an adoptive relationship between you and the person you wish to get married
to as stated below?
No
Do you live together/Have you previously lived together?
Yes
Do you and your partner have joint children?
No
How did you meet?

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Application for Certificate of marital status https://selvbetjening.familieretshuset.dk/SelfServiceWebsite/submission...

The internet
Have you met in person?
Yes
How did you meet Part 2? Please elaborate this question with where and when you met
We start to talk in a facebook gay group, and after we changed our phones numbers
and we went in Whatsapp, and he flighed from Germany to meet me in Lithuania, and i
came also from lithuania to Germany to be with him.
When did you meet the first time?
in march 2024
How and how often have you had contact? Please inform us on how you are in contact
We live together since september 2024, but before that we have many times in
contact, he came to Lithuania and i go to German y
Where and for what periods have you lived together? (We need information on the
days you have lived together, not including holidays and visits)
we live together in Cologne, Germany, since on 06th september 2024. I can't attach a
certificate of residence because consider of the Law, we need to be marriage first
before i declare my residence in the municipality.

Kindly attach certificate of residence ?

Kindly attach picture documentation for your relationship: ?

1.jpeg
2.jpg
3.jpg
4.jpg
5.jpg
536453.pdf
On what language do you communicate?
We communicate in english and sometimes in German, because i speak litle bit
German

Information about Part 2

Edit 

Full name:
Torsten Khelifi
Nationality?
Country within the EU/EØS incl. Switzerland
Nationality:
Germany

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Application for Certificate of marital status https://selvbetjening.familieretshuset.dk/SelfServiceWebsite/submission...

I have
CPR number
a dual
Personal ID: (Only
nationality
? if you have access to your E-boks account)

Date of birth:
19-06-1969
Email: (Email adresses for Part 1, 2 and 3 must not be identical)
[email protected]
Country code: (mobile number)
+49
Mobile number:
1775000231

Are you exempted from the visa requirement? ?

Yes
Kindly attach documentation for legal residence in Denmark:
Have you had a different nationality?
No
Where are you domiciled? (We need your domicile, not a temporary address)
Other EU country/EEA State than Denmark including Switzerland
Street name and house number:
Platenstrasse 53
Address continued..
Postal code:
50825
City
Koeln
Country:
Germany
Which country are you born in?
Germany
In what city were you born?
Remscheid
Do you have a passport or a personal ID card?
ID
Kindly state your passport number or ID number:
L746W72MR
When is your passport/ID card issued?
28-04-2022
When does your passport/ID card expire? (if no date stated on the ID please insert
today)
27-04-2032

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Application for Certificate of marital status https://selvbetjening.familieretshuset.dk/SelfServiceWebsite/submission...

In what country has your passport/ID card been issued?

Kindly attach color photos or copies in color of both sides of your ID card: ?
ID Torsten .pdf

Personal information - Part 2

Edit 

Have you previously been married/been in a registered partnership?

Yes
Information about earlier marriage/civil partnership −
1 −
Earlier spouse's/partner's full name: Chokri khelifi
Earlier spouse's/partner's day of birth: 23-11-1972
Earlier spouse's/partner's nationality: Germany
When did you get married/enter into a
civil partnership? 01-10-2001
When did your marriage/civil partnership
end? 08-01-2007
Why did it end? Divorce
Kindly attach documentation for divorce divorce Torsten .pdf
Are you under guardianship?
No
Are you closely related to the person you wish to get married to as mentioned below?
No
Are you closely related by marriage to the person you wish to get married to as
mentioned below?
No
Is there an adoptive relationship between you and the person you wish to get married
to as stated below?
No

Additional documentation

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Application for Certificate of marital status https://selvbetjening.familieretshuset.dk/SelfServiceWebsite/submission...

Attach additional documentation that is relevant for the case:

Select files

You can select multiple files.

Declaration of truth

If one of you does not have a Danish citizenship, a citizenship in one of the other
Nordic countries or a residence permit according to §§ 9i-9n of the Immigration Act
and if the other part has such a citizenship in Denmark or such a residence permit
you cannot marry unless you have declared that you are aware of the provisions of
section§9 (1), No 1 and (2-14) and (30) of the Immigration Act. However this does
not apply when the person who lives in Denmark is either an EU citizen with a
residence permit according to the Aliens Act §6 cf. §2 (4) of the Immigration Act or is
a Swiss citizen with a residence permit according to section 6 cf.2 (5) of the
Immigration Act.

If you are covered by the above – you must sign the 11B declaration.

Attach signed 11B declaration here:

Select files

You can select multiple files.

Signature

Print and sign the summary with the Declaration of truth and upload it.

I declare that the information I have provided is correct and that I am aware that it is
a crime to provide incorrect information according to the section 163 of the Criminal
Act.

The Criminal Act §163: According to the section 163 of the Criminal Act, a person who
gives false information may be liable for a fine or punished by 4 months imprisonment.

In addition I declare that I have read the pamphlet: “Når I skal giftes – Husk
økonomien”.

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Application for Certificate of marital status https://selvbetjening.familieretshuset.dk/SelfServiceWebsite/submission...

Name of the signatory

Gulbert Junior Yiepdjouo Tchotcheu
Kindly sign here

Name of the signatory

Torsten Khelifi
Kindly sign here

Kindly attach signed summary page:

*

Select files

You can select multiple files.

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