ISLAMIC DIVORCE/KHULA FORM

ISLAMIC DIVORCE/KHULA FORM
Your Name*

PrefixFirst NameMiddle NameLast Name
Email*

Confirmation Emailexample@example.com
Contact Number*
What is the reason for divorce / separation?*
Please give more details to support the reason for your application below:*
Your Address*

House Name or Number

Street Address Line

City / TownArea

UK Postal / CodeCountry
Your Date of Birth*

DayMonthYear
Date
Your Occupation *
Accepted proof of ID:

Current signed passport
Current UK or EEA photocard driving licence
UPLOAD - Your Proof of ID [max 10mb file]*

pdf, doc, docx, jpg, jpeg, png, gif
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Spouse - Full Name*

PrefixFirst NameMiddle NameLast Name
Spouse - Contact Number*
Spouse - Email
Address of Spouse / Last address lived together*

House Name or Number

Street Address Line

City / TownArea

UK Postal / CodeCountry
How many children do you have from this marriage? *
Attach Marriage certificate [max 10mb file]*

pdf, doc, docx, jpg, jpeg, png, gif
Cancelof
Preferred Language for communication*
By submitting this form i agree that i have read over the Privacy Policy available on www.majlis.org.uk/privacy-policy/ Your privacy is important to us, and we are committed to protecting your personal information. The information you provide to MUS will be used only to contact you regarding the service you have requested.
Divorce / Khula Fees
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Divorce / Khula Fees
£200.00

Total

£0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.