Marriage registration​
Husband-to-be
Wife-to-be
Photograph or Portrait
Heisei
Year
Month
Day
Report
(Pronunciation)
Full name
Birth Date
How you met and fell in love with your wife(or husband)
Husband and Wive's occupations
Additional info
Signatures and seals of applicants
Emiya
Shirou
Emiya Shirou
Saber
Lily
Saber Lily
I forgot
written casually
I forgot
written with polite speech
Ally of justice
Student
Emiya Shirou
Saber Lily
Husband
Wife