nikah application form .pdf

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34 Francis Road, Leyton, London E10 6PW / Tel: 020-8558-0581/ 020-8925-0673 /Fax: 020-8558-7872

NIKAH  APPLICATION  FORM  
Details    

Groom  

Bride  

First  name  

 

 

Surname  

 

 

Date  of  birth  

 

 

Contact  number  

 

 

Address  

 

 

Nationality  

 

 

Passport  Number  

 

 

 
 

 

Amount  of  Dowry  (Mahr  Agreed)  

 

 

Name  of  Wali  

 

Relationship  to  bride  

 

Address  of  Wali  

 

 
Name  of  Witness  1  

 

Address  of  witness  1  

 

 
 

For enquiries telephone the office Monday to Thursday 10:00am to 6:00pm
E-Mail: info@islamic-sharia.org / website: www.islamic-sharia.org / Registered Charity No. 1003855  

 

 
34 Francis Road, Leyton, London E10 6PW / Tel: 020-8558-0581/ 020-8925-0673 /Fax: 020-8558-7872

Name  of  Witness  2  

 

Address  of  witness  2  

 

 
 
 

Has  this  marriage  been  registered?  

 

Yes  
Date  of  civil  marriage  

 

Name  of  register  office    

 

Reference  Number    
(registration  number)  

 

No  

 

Has  the  bride  been  married  before?  

Yes  

 

No  

You  must  provide  proof  of  Islamic  divorce  

     

 

Official  use  only    
Supporting  documents  

 

Passport  

Bride        

 

Groom  

 

Wali  

 

ID  

P/O  Address  

Bride    

 

Groom  

 

Power  of  Attorney  

 

Date  and  Time  of  Nikah  Booking:  

P/O  Divorce  

 

 

 

Fee:                                  Cash  

         Card  

Witness  1  

Witness  2  

 

Booked  With:  

 
 
 
For enquiries telephone the office Monday to Thursday 10:00am to 6:00pm
E-Mail: info@islamic-sharia.org / website: www.islamic-sharia.org / Registered Charity No. 1003855  

 

 
34 Francis Road, Leyton, London E10 6PW / Tel: 020-8558-0581/ 020-8925-0673 /Fax: 020-8558-7872

NIKAH  REQUIREMNTS:  
Please  fill  out  the  application  in  clear  legible  writing    
Please  read  the  following  requirements  clearly  and  bring  the  relevant  documents  with  you  on  
the  day  of  Nikah.  


 

Requirements:  
1. Both  bride  and  groom  must  be  present  in  person  on  the  day.    
2. Wali  must  be  present  in  person    
• Wali  must  be  the  father  unless  he  is  deceased,  if  there  are  any  issues  with  
this  please  call  the  office  to  discuss  
• If  wali  is  abroad-­‐  he  must  give  power  of  attorney  (official  letter  attested  
by   solicitor)   appointing   someone   else   to   act   as   Wali   on   their   behalf.  
Power   of   attorney,   should   clearly   state   name   of   father   his   passport  
number,   the   fact   that   he   is   giving   his   consent   for   his   daughter   and   the  
groom  to  marry.  
3. Valid  Passport  for  all  three  (groom,  bride  and  her  wali)  
4. Proof  of  residential  address  for  both  bride  and  groom.  
5. 2  adult  male  Muslim  witnesses  and  their  ID  (passport  or  driving  licence)  
6. If   the   bride   has   previously   been   married   then   she   should   present   proof   of   her  
Islamic  divorce  

A  fee  of  £150/-­‐  is  payable  for  this  service.  You  may  be  asked  to  pay  a  deposit  upon  booking  the  
Nikah.  
Please  note  that  the  Islamic  Sharia  Council  can  only  give  a  photocopy  of  the  Nikah  nama  until  
the  marriage  is  registered  (i.e.  a  civil  ceremony  takes  place).  Once  a  copy  of  the  civil  registry  
certificate  is  provided  we  will  issue  the  couple  with  the  original  Nikah  Nama.  
We  require  both  the  bride  and  groom  to  be  of  British  or  EU  nationality.  If  one  or  both  is  not  of  
British  or  EU  nationality  then  we  require  a  civil  marriage  to  take  place  first.  
If  the  above  requirements  cannot  be  met,  the  Islamic  Sharia  Council  reserves  the  right  to  refuse  
to  perform  the  Nikah.  
 

For enquiries telephone the office Monday to Thursday 10:00am to 6:00pm
E-Mail: info@islamic-sharia.org / website: www.islamic-sharia.org / Registered Charity No. 1003855  

 

 
34 Francis Road, Leyton, London E10 6PW / Tel: 020-8558-0581/ 020-8925-0673 /Fax: 020-8558-7872

Declaration  
I  testify  in  the  name  of  Allah  that  the  information  given  on  the  application  for  booking  Nikah  is  
true  to  the  best  of  my  knowledge.  
 
Signed:  __________________________      Print  Name:  ___________________________  
 

Groom  

 
Signed:  __________________________  Print  Name:  ___________________________  
 

Bride  

 

For enquiries telephone the office Monday to Thursday 10:00am to 6:00pm
E-Mail: info@islamic-sharia.org / website: www.islamic-sharia.org / Registered Charity No. 1003855  

 


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