Marriage Registration Requirements for Brazilian Citizens in Paris

Memorial of Marriage Intentions

Declaration of Intent

Adilson Xavier Nogueira and Daniela Rodenas, for the purposes of marriage and in accordance with Article 1525 of the Civil Code, declare the following:

Applicant Details: Adilson Xavier Nogueira

• Status: Single
• Nationality: Brazilian
• Profession: Student
• Date of Birth: 05/09/1985
• Current Residence: 24, Rue Victor Basch, 92120, Montrouge, Paris, France
• Consular District Address: 65, avenue Franklin Roosevelt, 75008, Paris, France
• Parents: Xavier Aurindo Patrocinio and Jesuina Nelson Xavier

Applicant Details: Daniela Rodenas

• Status: Bachelorette
• Nationality: Brazilian
• Profession: Student
• Date of Birth: 31/03/1983
• Current Residence: 24, Rue Victor Basch, 92120, Montrouge, Paris, France
• Consular District Address: 65, avenue Franklin Roosevelt, 75008, Paris, France
• Parents: Romildo Rodenas and Ana Lucia de Oliveira Rodenas

Matrimonial Provisions

The regime of matrimonial property shall be: ..........................................

The applicant, after the marriage, intends to adopt the name: Daniela Rodenas Xavier Nogueira.

Formalities

Paris, ............/..................../ 2010.

Signature of the Betrothed (Nubente)

I recognize the true signature of this document, Adilson Xavier Nogueira, as recorded in the Book of Names of the Consular Office.

Officer of the Civil Registry ad-hoc

Paris, ............/...................../ 2010.