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/Time
*
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Which Islamic Center of Naperville location is the Nikkah planned to take place (subject to availability)?
*
Masjid Al-Hilal (ICN Ogden)
ICN 75th
Masjid 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 Ali
Sh. Omar Hedroug
Sh. Hisham Elbiltagi
Br. Imran Baig
Sh. Ismail Al Qadi
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.
*
Yes
No
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
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ICN Nikkah Registration Application
Registration fees covers ICN Nikkah certificate
$
250.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
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