This registration application for marriage has been accepted, and following examination, it has been concluded that their application is in conformity with the legal provisions on marriage of “The Marriage Law of People's Republic of China”, and they are granted the right to register for marriage and have been issued this certificate.

Issue Department: Department of Civil Affairs of Xincheng District, Xi'an City

(Special Seal for Marriage Registration)

Marriage Register: (Signature):

Certificate Holder: XXXXXX

Registration Date: XXXXXX

Marriage Certificate No: XXXXXX

Note:

The original marriage certificate is lost and hereby reissued. XXXXXX

Name: XXXXXX Gender: Female

Nationality: Chinese Date of Birth: XXXXXX

ID Card No.: XXXXXX

Name: XXXXXX Gender: Male

Nationality: Chinese Date of Birth: XXXXXX

ID Card No.: XXXXXX

According to the Marriage Law, both the man and the woman desiring to contract a marriage shall register in person with the marriage registration office. If the proposed marriage is found to conform with the provisions of this Law, the couple shall be allowed to register and issued marriage certificates. The husband and wife relationship shall be established as soon as they acquire the marriage certificates.

No: XXXXXX

20232235

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