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1. A. FULL NAME
STATE OF NEW YORK-I
DEPARTMENT OF HEALTH
AFFIDAVIT, LICENSE and
CERTIFICATE OF
MARRIAGE
FROM THE GROOM
Ashraf Abuelhija
FIRST MIDDLE
CURRENT SURNAME
::iIAIC r'IL.c. NUMac.n
COUNTY Dutchess
CITYtTOW!;j wappinger
DISTRICT 1368
NUMBER
REGISTER 7
NUMBER
(THIS SPACE FOR STA TE USE ONL Y)
L 0 SUPPLEMENTAL FILE
11. A. FUU NAME
FROM THE BRIDE
Or.~Abllelh"
FI S - I.IIDDLE
CURRENT SURNAME
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B. BIRTH NAME, IF DIFFERENT
C. SURNAME AFTER MARRIAGE
(OPTIONAL - SEE REVERSE)011 .~ ~1
D. SOCIAL SECURITY NUMBER ~
2 RESIDENCE A New Yark B. Dutchess
(STATE) J (COUNTY)
C. CHECK ON~ . . 0 CITY D TOWN 0 VILLAGE
AND vva .
SPECIFY PPlnger
o STREET ADDRESS 37 C surrey L8ne ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES ~ NO
09 /27 /1977
MONTH DAY YEAR
B. BIRTH NAME (MAIDEN NAME), IF DIFFERENT ISJb&Rye
C. SURNAME AFTER MARRIAGE
(OPTIONAL - SEE REVERSE)
D. SOCIAL SECURITY NUMBER 114-9402034
12. RESIDENCE A. NewAX)ork B. D\~~
C. CHECK ONE 0 CITY it TOWN 0 VILLAGE
AND Wa .
SPECIFY ppnger
D. STREET ADDREss37 C Su~ laFlA ZIP 12590
E. IS RESIDENCE WITHIN LIMITS OF CITY OR INCORPORATED VILLAGE? 0 YES ~ NO
13. A. AGE28 13.B. DATE OF BIRTH no 06 "-<"'7"7
~NTH DAY '1~AR
3. A. AGE 28
3B. DATE OF BIRTH
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4. EMPLOYMENT
A. USUAL OCCUPATION Engineer
s. TYPE OF INDUSTRY OR BUSINESS Novelus Systems
5. PLACE OF BIRTH Nazareth, Israel
(CITY, STATE/COUNTRY IF NOT USA)
14. EMPLOYMENT
A. USUAL OCCUPATION I SlNtl'fN
B. TYPE OF INDUSTRY OR BUSINESS Tawflq & Gebarln Rrm
15. PLACE OF BIRTH~~A~mi-RY IF NOT USA)
16. FATHER
A. NAMEMajed Ipriyp-
B. COUNTRY OF BIRT~"ef
17. MOTHER
A. MAIDEN NAME NaJa Igblriye
B. COUNTRY OF BIRT~sreel
lB. NUMBER OF THIS MARRIAGE 1
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6. FATHER
A. NAME Yusef Abueltija
S. COUNTRY OF BIRTH Isreel
7. MOTHER
A. MAIDEN NAME Maryam Abuelhlla
B. COUNTRY OF BIRTH Israel -
B. NUMBER OF THIS MARRIAGE 1
9. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIV&RCE CIVIL A'OULMENT
o
(2) 0 DEATH
19. PREVIOUS MARRIAGES
A. NUMBER OF PREVIOUS MARRIAGES WHICH ENDED BY
DIVORCE CIVIL ANNULMENT
o
DEATH
DEATH
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B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE
C. DATE LAST MARRIAGE ENDED?
(3) 0 ANNULMENT
/ /
(2) 0 DEATH
B. HOW DID LAST MARRIAGE END? (3) 0 DIVORCE (3) 0 ANNULMENT
C. DATE LAST MARRIAGE ENDED? / /
MONTH DAY
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
20. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION I
DATE OF DECREE PLACE ISSUED AGAINST WHOM '
(MONTH, DAY, YEAR) (CITY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE '
MONTH DAY YEAR
D. ARE ANY FORMER SPOUSE(S) ALIVE? 0 YES 0 NO
10. IF PREVIOUSLY DIVORCED OR ANNULED, PROVIDE THE FOLLOWING INFORMATION
DATE OF DECREE PLACE ISSUED AGAINST WHOM
(MONTH, DAY, YEAR) (CITY, STATE/COUNTRY, IF NOT USA) SELF SPOUSE
YEAR
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1ST 0 0 1ST 0 0
2ND 0 0 2ND 0 0
3RD 0 0 3RD 0 0
~ 0 0 ~ 0 0
I, being duly sworn, depose and say, that to the best of my kno 'edge and belief that the information I provided is true ~a: I declare that no legal impediment exists ,
as to my right to enter into the marriage state. U' L LJ ~ F / J,
21. SIGNATURE OF GROOM ~ 22. SIGNATURE OF BRIDE ~ ~NT NAME' ( /. 4 ~
23. SUBSCRIBED AND SWORN TO BEFORE ME US/RRE DATE "",...,t20Q6'
SIGNATURE OF TOWN OR CITY CLERK ~ ~
This license authorizes the.,lnarriage in New York St e of the bride and groom named above by any person authorized by New York Domestic
Relations Law ~11 to perform;narriage ceremonies within New York State. THIS LICENSE VALID IN NEW YORK STATE ONLY,
" If checked, this license is to be used only for the purpose of a second or subsequent ceremony.
~ 24. TOWN OR CJn:. CLERK 25. A. SOLEMNIZATION PERIOD BEGINS
} NAME (PRINT).IOf1n C. Masterson
{~ !~~~--;;:~ ~'~~ ;;' MONrn022a~'
~~~R~~~RT~~~ 10~0~~~N~Z:~ 26. SOLEMNIZATION OCCURRED 27. TYPE OF CEREMONY 2B. PLACE WHERE MARRIAGE OCCURRED
~~~~ ~~~E~T A.pH~V~13~ I~6 TIME MO. DAY YEAR 0 0 RELIGIOUS ~IVIL A. STATE NEW YORK B. COUN~
PLACE INDICATED. 9 0 OTHER, SPECIFY
C. LOCATION OF CEREMONY
(CHECK ONE AND SPECIFY)
o CITY OF JeTOWN OF 0 VILLAGE OF
SPECIFY uJ...a....rp l' ~ ') e r
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29. OFFICIANT
NAME (PRINT)
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MINISTRY OF THE INTERIOR
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STATE OF ISRAEL
111" n11~n
BIRTH CERTIFICATE
Surname IGBARIYE
Given name ORAYB
Given name
of father MAJED
Given name
of mother NAJLA
Given name
of grandfather ABD ALKADER
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Surname
of mother's father IJBARIYE
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Identity no.
Sex FEMALE
Nationality ARAB
Religion MUSLIM
Place of birth AFULA
Hospital's name CENTERAL FOR THE EM
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Date of birth
6 September 1977
11~'O" 711'771 Cl1pD
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1977 '3~"O~3 6 711'7711'1NTl
I hereby certify that the above newborn is
listed in the Births Register.
This certificate is issued in accordance with
TI'1",f1 '!:l'O3 O\!J') 1""1"1 " '\!JNU '))1'1
article 30 of the Population Registry Law of 1965
At the office of the Population Administration
in AFULA . .,C"'" "
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Date 8 August 2005 /,:;:;-"v ';~\.
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Seal 'of MinTs try
30 "l')J'O' ONTlf13 1'1)TI') f11")JTlf1
1965 - f1"'\!JTI 1''O''''Nf1 O\!J'U pm'
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/""" Signature of registrar
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MINISTRY OF THE INTERIOR
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STA TE OF ISRAEL
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BIRTH CERTIFICATE
Surname ABU EL HIJA
Given name ASHRAF
Given name
of father YUSEF
Given name
of mother MARYAM
Given name
of grandfather EZAT
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Surname
of mother's father ABU EL HIJA
Identity no. o 3425831 9
Sex MALE
Nationality ARAB
Religion SUNNI MUSLIM
Place of birth NAZARETH
Hospital's name NAZARETH
Date of birth 27 September 1977
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I hereby certify that the above newborn is
listed in the Births Register.
This certificate is issued in accordance with
3'1""11 ,tlt7:l O\!),' ""11 " '\!)N)3 '))11
article 30 of the Population Registry Law of 1965
At the office of the Population Administration
in AFULA
Date 8 August 2005
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1965 - 11"'\!)3'1 pt7""N11 O\!)')3 i',n,
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Seal of Ministry
Signature of registrar
10/'7)
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