Marriage Application Form
Marriage Date
-
Month
-
Day
Year
Date
Hour Minutes
AM
PM
AM/PM Option
Marriage Date
*
Partner A Information
Full Legal Name
*
First Name
Last Name
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Place of Birth
*
Citizenship
*
Religion
*
Ethnicity
*
Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation/Job Title
Company Name
Driver's License No.
*
Father's Name
*
First Name
Last Name
Mother's Name
*
First Name
Last Name
Previously married?
*
Yes
No
Required Supporting Documents
Copy of Valid IDs (Driver license, passport, or PR card) and Marriage License
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Agreement
I confirm that all information in this document is accurate and true.
Partner A Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Back
Next
Partner B Information
Full Legal Name
*
First Name
Last Name
Age
*
Date of Birth
*
-
Month
-
Day
Year
Date
Place of Birth
*
Citizenship
*
Religion
*
Ethnicity
*
Phone
*
Please enter a valid phone number.
Email
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Occupation/Job Title
Company Name
Father's Name
*
First Name
Last Name
Mother's Name
*
First Name
Last Name
Previously married?
*
Yes
No
Required Supporting Documents
Copy of Valid IDs (Driver license, passport, or PR card) and Marriage License
*
Browse Files
Drag and drop files here
Choose a file
Cancel
of
Agreement
I confirm that all information in this document is accurate and true.
Partner B Signature
*
Date Signed
*
-
Month
-
Day
Year
Date
Back
Next
Additional Details
Any special instructions?
Preferred Imam (This will be based on the availability of the Imam)
*
Yasin Dwyer
Sheikh Alaa
Hafez Asjed
Are you a member?
*
Yes
No
Do you require off-site services?
*
Yes
No
Marriage license fee
Marriage License Fee
*
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( X )
CAD
Please note that there is an additional $100 fee for off-site services
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
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