C-25.01, r. 6 - Rules of practice of the Superior Court of Québec in family matters

Schedule Disposition versions

2012-09-01

FORM II

(Rule 22)

CANADA SUPERIOR COURT

PROVINCE OF QUÉBEC FAMILY DIVISION

DISTRICT OF (Divorce)

NO.

PLAINTIFF(S)

and, where applicable,

DEFENDANT

ATTESTATION IN RESPECT OF THE REGISTRATION OF BIRTHS

□ No party’s birth was registered in Québec. (Do not fill out paragraphs 1 and 2. Enter the date and sign on page 2).

□ The wife’s birth was not registered in Québec. (Fill out paragraph 2 only. Enter the date and sign on page 2.)

□ The husband’s birth was not registered in Québec. (Fill out paragraph 1 only. Enter the date and sign on page 2.)

I hereby declare that:

(1) The wife was born on __________(date of birth)__________ at __________(place of birth)__________ and was baptized or her birth was registered on __________(date of baptism or civil registration)__________ at __________(parish and municipality, in case of baptism, or municipality, in case of civil registration)__________.

She is the daughter of ______________________________ and ______________________________.

OR (Form to be used where the act of birth was issued by the registrar of civil status.)

The wife is __________ years of age and the registration number of her act of birth in the register of civil status is ______________________________.

(2) The husband was born on __________(date of birth)__________ at __________(place of birth)__________ and was baptized or his birth was registered on __________(date of baptism or civil registration)__________ at __________(parish and municipality, in case of baptism, or municipality, in case of civil registration)__________.

He is the son of ______________________________ and ______________________________.

OR (Form to be used where the act of birth was issued by the registrar of civil status.)

The husband is __________ years of age and the registration number of his act of birth in the register of civil status is ___________(place and date)__________.

________________________________________

Party or parties

OR

Attorney for

Decision 96-09-16, s. 24; Decision 98-10-16, s. 3; Decision 2000-06-17, s. 5.