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NIKKAH SERVICE REQUEST FORM

The Bride and Groom must be over the age of 18. In order for us to verify your identification you will need to upload photo ID and proof of address.

THE GROOM
PERSONAL DETAILS

State your gender.

This field is required

Enter your first name.

This field is required

Enter your last name.

This field is required

Enter the child's Date Of Birth.

This field is required

Enter your phone number.

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Enter your email address.

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ADDRESS

Enter the first line of your address.

This field is required

Enter the second line of your address.

This field is required

Enter your town or city.

This field is required

Enter your postcode.

This field is required
THE BRIDE
PERSONAL DETAILS

State your gender.

This field is required

Enter your first name.

This field is required

Enter your last name.

This field is required

Enter the child's Date Of Birth.

This field is required

Enter your phone number.

This field is required

Enter your email address.

This field is required

ADDRESS

Enter the first line of your address.

This field is required

Enter the second line of your address.

This field is required

Enter your town or city.

This field is required

Enter your postcode.

This field is required
QUALIFYING CRITERIA

This field is required

State your gender.

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State your gender.

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Has the Bride previously been married?

Agreed Mahr (£)

This field is required

Preferred Nikkah Date

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Please note: All Nikkah ceremonies are performed at the Masjid, and on the weekends, after the Dhuhr Salah. At least two-weeks prior notice is required.

UPLOAD DOCUMENTATION
GROOM

Photo ID
(i.e. Passport, Driving Licence)

No Files Selected

Proof of Address
(i.e. Utility Bill, Bank Statement)

No Files Selected

BRIDE

Photo ID
(i.e. Passport, Driving Licence)

No Files Selected

Proof of Address
(i.e. Utility Bill, Bank Statement)

No Files Selected
ADDITIONAL INFORMATION

Additional information such as special needs or any existing level of education.

This field is required

You agree to the terms of our Privacy Policy.

Agree to our Privacy Policy.

By clicking 'Submit' you confirm the information provided is accurate to the best of your knowledge.

Sutton Coldfield Muslim Association is a UK registered charity (no. 1020820).

Address

Anchorage Road
Sutton Coldfield
West Midlands
B74 2PL
United Kingdom

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