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MARRIAGE (NIKKAH) FORM

Name of the Groom

Groom's Date of Birth

Groom's Phone Number

Email

Name of the Bride

Bride's Date of Birth

Bride's Phone Number

Was the Bride previously married?

Name of the the Wali

Wali's Phone Number

Date of Nikkah

Time

Would like to do your nikkah at Alfurqan Mosque?

Other venue: Please provide full address including post code

Other venue:

Please provide full address including post code

Please note that there is a £250 fee for the service. Kindly confirm by ticking the box next to this statement.