Islamic Center of Naperville - Nikkah Registration Application

Nikkah Registration Application

The Messenger of Allah said: “Marriage is part of my sunnah"
Name of the person submitting the application:*

First NameLast Name
Email of the person submitting the application:*
example@example.com
Phone Number of the person submitting the application:*
Format: (000) 000-0000.
Name of the Groom:*

First NameLast Name
Groom's Father's Name:*

First NameLast Name
Groom's date of birth:*

MonthDayYear
Date
Groom's Religion:*
Name of the Bride:*

First NameLast Name
Bride's Father Name:*

First NameLast Name
Bride's date of birth:*

MonthDayYear
Date
Bride's Religion:*
Name of the bride's wali:*

First NameLast Name
Relationship of Wali to the Bride:*
Name of Male Witness #1:*
Name of Male Witness #2:*
Mahr Amount:*
Enter an amount in $ (dollars)
Mahr amount to be paid at the time of the wedding:*
Enter an amount in $ (dollars)
Mahar amount deferred:*
Mahr amount - Mahr amount paid at the time of wedding in $ (dollars)
Have both parties agreed upon the mahr amount?*

YesNo
Date of Nikkah/Time*

MonthDayYear
Date
Hour MinutesAM/PM Option
Which Islamic Center of Naperville location is the Nikkah planned to take place (subject to availability)?*

Masjid Al-Hilal (ICN Ogden)ICN 75thMasjid Al-Hidayah (ICN Olesen)Masjid An-Noor (ICN 248th)Other
How many people are you expecting at your ceremony?*
Who would you like to perform your nikkah? (subject to availability)?*

Dr. Rizwan AliSh. Omar HedrougSh. Hisham ElbiltagiBr. Imran BaigSh. Ismail Al Qadi
We agree to obtain a marriage license from the county where the Nikkah will take place before the Nikkah ceremony:*

YesNo
I want a pre-marital religious counseling session with the Imam.*

YesNo
A session can be scheduled by visiting cal.com/mirrizwanali
Is there any other information you would like to share?
I agree that the above information I provided is correct and true to the best of my knowledge.*

Yes

My Products

ICN Nikkah Registration Application

Registration fees covers ICN Nikkah certificate

$250.00

Total

$0.00

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