Islamic Divorce Form

ISLAMIC DIVORCE FORM
Who is applying for the divorce?
Husband's Details
Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Nationality
Include all nationalities held
Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Email
Preferred Number

Country CodePhone Number
Other Number

Country CodePhone Number
Wife's Details
Name

First NameLast Name
Date of Birth

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Nationality
Include all nationalities held
Address

Street Address

Street Address Line 2

CityState / Province

Post Code
Email
Preferred Number

Country CodePhone Number
Other Number

Country CodePhone Number
Islamic Marriage (Nikah)
Date of Marriage

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Place of Marriage
City, Country
Mahr
Details as set out in marriage contract
Civil Marriage
Did you enter into a separate civil marriage?
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year
Place
City, Country
Has either party petitioned for a civil divorce?
Date of civil divorce if already obtained

DayMonthYear
2 digit day, 2 digit month, 4 digit yearDate
Children
Please include details of any children of the marriage
Name, gender, date of birth and nationality
Reason for Divorce
Have you/your spouse applied for an Islamic divorce elsewhere?
If yes, include details (where, whether ongoing or concluded)
Briefly describe the reasons for your application
Please include anything you consider relevant, if reconciliation has been attempted, if you both agree that a divorce is the next step
Documents
Documents required
File Upload

Cancelof
Please let us know if you are unable to provide any of these
Authorisation
I authorise MRS Consultants to review and process my Islamic divorce application in accordance with the Sharia. I confirm that all information provided is true and accurate. I understand that my application may be declined if any information is false or misleading.

I agree to pay a non-refundable deposit upon submission and accept full responsibility for all applicable fees. I acknowledge that no certificates will be issued until all fees are paid in full.
Name

First NameLast Name
Signature
Date

DayMonthYear
2 digit day, 2 digit month, 4 digit year

My Products

Islamic Divorce

Application

£250.00

Total

Payment Methods

Debit or Credit Card

Klarna

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ISLAMIC DIVORCE FORM

Husband's Details

Wife's Details

Islamic Marriage (Nikah)

Civil Marriage

Children

Reason for Divorce

Documents

Authorisation

My Products