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Talaq & Khula
Booking Form For An Islamic Nikah
bridegroom
Full Name
Father’s Name
Telephone
Email
Date of Birth
Place of Birth
Present Address
Islamic Marriage
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
Telephone
Email
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
Submit
Submit
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Issued by: Jamiyat Tabligh-ul-Islam, Bradford Central Mosque, 9 Darfield Street, Bradford, BD1 3RU
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