Nikkah Registration Application
The Messenger of Allah said: “Marriage is part of my sunnah"
Name of the person submitting the application:
*
First Name
Last Name
Email of the person submitting the application:
*
example@example.com
Phone Number of the person submitting the application:
*
Name of the Groom:
*
First Name
Last Name
Groom's Father's Name:
*
First Name
Last Name
Groom's date of birth:
*
/
Month
/
Day
Year
Date
Groom's Religion:
*
Name of the Bride:
*
First Name
Last Name
Bride's Father Name:
*
First Name
Last Name
Bride's date of birth:
*
/
Month
/
Day
Year
Date
Bride's Religion:
*
Name of the bride's wali:
*
First Name
Last 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?
*
Yes
No
Date of Nikkah:
*
/
Month
/
Day
Year
Specify the date the nikkah will take place
Will the Nikkah take place at Islamic Center of Naperville locations (subject to availability)?
*
Ogden
75th
Olesen
Other
How many people are you expecting at your ceremony?
*
Who would you like to perform your nikkah? (subject to availability)?
*
Dr. Rizwan Ali
Sh. Omar Hedroug
Sh. Hisham Elbiltagi
Br. Imran Baig
We agree to obtain a marriage license from the county where the nikkah will take place before the nikkah ceremony:
*
Yes
No
I want a pre-marital religious counseling session with the Imam. A session can be scheduled by visiting calendly.com/mirrizwanali
*
Yes
No
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
Registration Payment:
*
prev
next
( X )
ICN Nikkah Registration Application
Registration fees covers ICN nikkah certificate
$
250.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit
Clear Form
Should be Empty: