Do you have a Lasting Power Yes/No Last Updated: of Attorney B information – Spouse/Partner’s Your Spouse/Partner’s Details Full Name: Date of Birth: Address: Address for correspondence (if different): Telephone numbers: Occupation: Day: Country of Domicile Evening: : National Insurance No: Email address: SECTION 2 Marriage/Cohabitation – Date of Cohabitation: Date of Marriage: Place of Marriage: Wife’s other surname(s): Who has Marriage Client/Spouse Religion: Certificate: Last lived together at: Date of separation: What is the reason Grown apart/adultery/unreasonable behaviour/already separated for the breakdown in (please provide details) the relationship? Any previous Did you enter into Yes/no (if yes, proceedings between any form of please provide a parties: agreement? copy of the same SECTION 3 Children – Note: If any child is born before marriage please confirm who the father is.
Do you have a Lasting Power of Attorney Yes/No Last Updated: B – Spouse/Partner’s information Your Spouse/Partner’s Details Full Name: Date of Birth: Address: Telephone numbers: Day: Evening: : Address for correspondence (if different): Occupation: Country of Domicile National Insurance No: Email address: SECTION 2 – Marriage/Cohabitation Date of Cohabitation: Date of Marriage: Place of Marriage: Wife’s other surname(s): Who has Marriage Certificate: Client/Spouse Religion: Last lived together at: Date of separation: What is the reason for the breakdown in the relationship? Grown apart/adultery/unreasonable behaviour/already separated (please provide details) Any previous proceedings between parties: Did you enter into any form of agreement? Yes/no (if yes, please provide a copy of the same SECTION 3 – Children Note: If any child is born before marriage please confirm who the father is.
family-questionnaire.docx