Islamic Marriage Form

ISLAMIC MARRIAGE APPLICATION
Groom's Details
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Nationality
Passport Number
Religion & Madhab
Address

Street Address

Street Address Line 2

CityState / Province

Post CodeCountry
Email
Phone Number

Country CodePhone Number
Bride's Details
Name*

First NameLast Name
Date of Birth*

DayMonthYear
Nationality
Passport Number
Religion & Madhab
Address

Street Address

Street Address Line 2

CityState / Province

Post Code
Email
Phone Number

Country CodePhone Number
Bride's Wali

Legal Guardian (if applicable)
Name

First NameLast Name
Relationship to bride
Eg. father
Phone Number

Country CodePhone Number
Will the Wali be present during the ceremony?
Islamic Marriage Ceremony
Ceremony Format

In-PersonRemote
Proposed Location, if in-person
Proposed Date

MonthDayYear
Mahr (Dowry)
Specify Mahr amount, details when due eg. due upon request or on a set date/event
Details of Witnesses

If required
Name

First NameLast Name
Name

First NameLast Name
Documents Required
File Upload

Cancelof
If you require a Marriage Certificate but are unable to provide these documents, please explain why
Please confirm how you would like to receive your Marriage Certificate

Collect in PersonSent to Groom's AddressSent to Bride's AddressOther
Civil Marriage
Will you be entering into a civil marriage?

YesNoPrefer Not to Say
Additional Info
Is there anything you would like to discuss or request ahead of your ceremony?
E.g. conditions to be included, language preferences, availability of the bride's wali
IMPORTANT

Where the bride and groom have entered into a temporary Islamic Marriage together, they must end this marriage before the Nikah ceremony.
Agreement and Authorisation
We, the undersigned, confirm that the information provided is accurate. MRS Consultants reserve the right to decline the application if the information is found to be incorrect, or if Islamic principles require us to do so.

We agree to pay a non-refundable deposit upon submission of this form, with full payment due no later than one week before the ceremony, unless otherwise agreed in writing. Full details of the T&Cs are available on the website.
Groom's Signature*

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Bride's Signature*

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Date*

DayMonthYear
Should be Empty:

ISLAMIC MARRIAGE APPLICATION

Groom's Details

Bride's Details

Bride's Wali

Islamic Marriage Ceremony

Details of Witnesses

Documents Required

Civil Marriage

Additional Info

Agreement and Authorisation