Lisburn Online Forms - 1 day Civil Marriage Approval Form

1. Details of Premises

2 Details of Applicant - This application must be made by the Bride or Groom.

If an approval is granted the Applicant will be known as the "Approval Holder" and will be responsible for ensuring all conditions and requirements are satisfied in respect of the premises for its use as a temporary venue for civil marriages

3. Nature of Premises

4. Occupier of Premises

5. Marriage Room(s) - Please describe the primary and other use(s) of the room(s) which is (are) to be used for the marriage ceremony (e.g Banqueting hall, conference room, garden area, marquee etc.) Please also state the maximum number of people who are permitted to occupy these room(s) under any fire certificate which applies. (see guidance part 1.3)

Please ensure there is a separate confidential interview room conveniently located to the marriage room, which is available to the Registrar

6. Responsible Person(s) - Please give details of the person and his/her deputy who will be responsible on the day for arranging and co-ordinating the marriage ceremony and ensuring compliance with requirements and conditions as attached. (see guidance part 3.1)

7. Attachments - Attached with this application are:

(Please note: applications without payment will not be processed. If payment is rejected the application will be void)

8. Declarations and Signature

1. Details of Premises
Please give the full name of premises:
Please give full address of premises (inc postcode):
Telephone number of premises:	+
Name of Proprietor:
Fax no.:	+
Email address:
2 Details of Applicant - This application must be made by the Bride or Groom.
Full Name:
Address (inc postcode):
Telephone Number:	+
Email address:
Day/Date of Proposed Marriage:
Time:
If an approval is granted the Applicant will be known as the "Approval Holder" and will be responsible for ensuring all conditions and requirements are satisfied in respect of the premises for its use as a temporary venue for civil marriages
3. Nature of Premises
Please describe the nature of the premises (e.g Hotel, Public Building, Dwelling etc) and the primary and any other reason for which they are regularly used. (see guidance part 1.2 and appendix A):
4. Occupier of Premises
Is the person named in Section 1 the sole occupier of the Premises?:	Yes No
If no, please give the names and addresses of other occupiers and the nature of their occupancy below:
5. Marriage Room(s) - Please describe the primary and other use(s) of the room(s) which is (are) to be used for the marriage ceremony (e.g Banqueting hall, conference room, garden area, marquee etc.) Please also state the maximum number of people who are permitted to occupy these room(s) under any fire certificate which applies. (see guidance part 1.3)
Room/Location:
Max No:
Room/Location:
Max No:
Please ensure there is a separate confidential interview room conveniently located to the marriage room, which is available to the Registrar
6. Responsible Person(s) - Please give details of the person and his/her deputy who will be responsible on the day for arranging and co-ordinating the marriage ceremony and ensuring compliance with requirements and conditions as attached. (see guidance part 3.1)
Name:
Occupation:
Private address (inc postcode):
Telephone Number:	+
Home/Mobile:	+
Name:
Occupation:
Address:
Telephone:	+
Home/Mobile:	+
7. Attachments - Attached with this application are:
Plans:	3 plans of the premises and/or location map and interview room
Fire certificate:	Copy of fire certificate (where applicable)
Public Liability:	Certificate of Public Liability Insurance
Applicaton fee:	Application fee of £420.00
(Please note: applications without payment will not be processed. If payment is rejected the application will be void)
8. Declarations and Signature
I apply for the premises identified in Section 1 to be temporarily approved for solemnisation of a civil marriage ceremony on the date specified in section 2:	Yes
the place:	The place may be inspected for suitability before approval is granted and, if this application is successful may be subject to subsequent inspection
premises:	The premises must satisfy the local authority on fire precautions and health and safety provisions
approval:	Approval, if granted will be for the date specified in section 2 only
approval2:	Approval, if granted, does not guarantee the availability of a Registrar
I enclose the documents in part 7:	Yes
I declare that:	I have read and understood "Guidance to the Requirements and Conditions for Approved Premises for Civil Marriages"
I declare that:	The place has no recent or continuing religious connection
I declare that:	I have obtained any necessary permissions regarding use of an access to the premises
I declare that:	I will publish in a prominent place notice of my application for a period of 21 days
I declare that:	If a temporary approval is granted, I will comply with the Conditions attached to this approval
Name:
Date: