Divorce Authorisation Form

Islamic Divorce Authorisation
This is to confirm that Sheikh   Scholar First Name*   Scholar Last Name*     or any person authorised by him, has the irrevocable authority to divorce my wife Wife First Name*   Wife Last Name*on my behalf, in accordance with the Sharia.

Husband First Name*   Husband Last Name*

Husband Signature*

Date*
Type of Divorce
Witness (if requested)

First NameLast Name
Signature
Witness (if requested)

First NameLast Name
Signature
Attach Any Documents Requested

Cancelof
Should be Empty: