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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