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ISWMD Nikāḥ Ceremony Request Form
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Groom's Information
Groom's Full Legal Name
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Groom's Phone Number
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Groom's Email Address
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Groom's Date of Birth
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Groom's Current Address
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Bride's Information
Bride's Full Legal Name
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Bride's Phone Number
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Bride's Email Address
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Bride's Date of Birth
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Bride's Current Address
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Wali & Witnesses
Will the Bride's Wali (Gurdian) be present at the Nikāḥ?
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If yes,  what is the wali's full name?
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Wali's Relationship to the Bride
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Do you have two witnesses available for the Nikāḥ?
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Witnesses' Names
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Marriage & Nikāḥ Information
Is this the first marriage for both the bride and groom?
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If either party was previously married, has the previous marriage ended?
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Have you obtained your civil marriage license?
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What is the agreed Mahr?
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Preferred Nikāḥ Date & Time
Preferred Nikāḥ Date
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Preferred Nikāḥ Time
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Do you have an alternative date if your first preference is unavailable?
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Do you have any special requests or arrangements for the Nikāḥ ceremony?
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Nikāḥ Fee / Contribution
  Suggested Nikāḥ Contribution  
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  If you selected "a different amount," please enter the amount.  
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Documentation & Requirements
Groom'd ID
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Bride's ID
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Who should the masjid contact regarding the Nikāḥ?
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Preferred Method of Contact
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Acknowledgment
Please confirm the following:
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Confirmation Message
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