An endorsement for the purposes of subsection 113(4) of the Act must be:
(a) signed by the person by whom or in whose presence the form or ceremony of marriage takes place or is performed in pursuance of subsection 113(2) of the Act; and
(b) in the following form:
"The form or ceremony of marriage between the parties took place or was performed in accordance with subsection 113(2) of the Marriage Act 1961 , the parties having previously gone through a form or ceremony of marriage with each other on [ date of marriage ] at [ place of marriage ].
Dated [ date ]
[ Signature of authorised celebrant ]"