Application for Nikkah (Islamic Marriage) at RCM
If you are looking for RCM's Resident Imam to conduct your marriage ceremony, please fill in the below form. A representative will be in contact with you within three business days.

Thanks so much for choosing RCM to provide you with this blessed service!

NOTE: RCM does not perform the Nikkah (Islamic marriage ceremony) unless the couple provides proof of a court marriage
Sign in to Google to save your progress. Learn more
Submitter Name *
Contact Phone Number *
Contact Email Address *
Date of Requested Nikkah
MM
/
DD
/
YYYY
Marriage License Number *
Court Marriage Location *
Bride's Name *
Groom's Name *
Wali or Wakeel's Name:
In order for the Islamic Marriage to take place, the bride needs to have a Wali or Wakeel (Islamic legal representative). This is usually the father, grandfather, brother, paternal uncle, or maternal uncle of the bride. If the bride does not have a Wali or Wakeel that can attend, please contact the imam at imam@roswellmasjid.org for more information and type in "not assigned" in the text-box below. *
*
Wali/Wakeel's Relationship to the bride:
Witness #1 Name:
For a marriage to be valid, there needs to be two witnesses present. Please include the names of those who will attend the ceremony as a witness.
*
Witness #2 Name:
*
Mahr (Dowry) to be given immediately (mahr muqaddam):

Describe the dowry that will be given prior to or immediately after the marriage ceremony.
*
Mahr to be deferred (mahr muakhar):

Describe the dowry, if applicable, to be given at a later time.
*
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Roswell Community Masjid.

Does this form look suspicious? Report