Form

Booking Form For An Islamic Nikah

bridegroom

Full Name
Father’s Name

Date of Birth
Place of Birth

Present Address
Present Address

I can confirm that I have the power, fitness and capacity to marry in Islamic law and fulfil my duties in an Islamic marriage

Personally/Representative

Personally Representative

Bride

Full Name
Father’s Name

Date of Birth
Place of Birth

Present Address
Present Address

I can confirm that I have the power, fitness and capacity to marry in Islamic law and fulfil my duties in an Islamic marriage

Personally/Representative

Personally Representative

representative or guardian of bride groom

Full Name
Father’s Name

Date of Birth
Place of Birth

Present Address

representative or guardian of bride

Full Name
Father’s Name

Date of Birth
Place of Birth

Present Address

WITNESS No 1

Full Name
Father’s Name

Date of Birth
Place of Birth

Present Address

WITNESS No 2

Full Name
Father’s Name

Date of Birth
Place of Birth

Present Address

Mahr

Mahr Amount
Deferred/Prompt

Deferred Prompt

Solemnised Date & Place

Date
Place

Address




Submit

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Issued by: Jamiyat Tabligh-ul-Islam, Bradford Central Mosque, 9 Darfield Street, Bradford, BD1 3RU