Prayer Time:

Al Tawheed Center © 2020

Marriage Application

Step 1 of 8

Applicant
Applicant Name*
First Last
Phone*
Email*

Groom
Name
First Last
Date of Birth
Date Format: MM slash DD slash YYYY
Phone*
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Bride
Name
First Last
Date of Birth
Date Format: MM slash DD slash YYYY
Phone*
Email
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Wali
Name
First Last
Phone
Email

Mahr
Mahr Amount*
Status*
Additional Mahr Information

Witness #1
Name
First Last
Phone*
Email
Witness #2
Name
First Last
Phone*
Email

Pre-Maritial Counselling
- Pre-Maritial Counselling?
Pre-Maritial Counselling Time

On-SIte Ceremony Request
Requested Ceremony Time*
Location of Ceremony*
Number of Guests*
Verification and Agreement
Verification*
I have verified all above information
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