Nikkah Request Form
Assalamu Alaikum Wa Rahmatullahi Wa Barakatuhu.

Please complete this form so that we can plan to see if we can arrange the nikkah for you.

If you have any questions please email admin@norburymuslimcentre.co.uk for more information.

Jazakumullahu Khayran

NMC Admin
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Name *
Email *
Contact Number *
When will the nikkah take place? *
MM
/
DD
/
YYYY
What time will the nikkah take place *
Time
:
Would you like one of the NMC Imams to hold the nikkah? *
If no, please state who the imam will be?
Would you like to hold the nikkah at NMC? *
Required
If yes; Which halls would you require?
Clear selection
If no; Where will the nikkah be held?
Approximately, how many people will be attending? *
Will brothers and sisters be segregated? *
Name of Wali *
Contact Number for Wali *
Relationship of Wali to bride? *
Has the bride been married before? *
If yes, Is the bride; *
Submit
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