NIKAH APPLICATION
Contact name: __________________________________________
Contact Phone number: ________________________________
Date of Nikah at Masjid Hamza: _______________________
Time: ____________________________________________________
Groom’s Name: _________________________________________
Date of Birth: ___________________________________________
Groom’s Father Name: _________________________________
Bride’s Name: __________________________________________
Date of Birth: ___________________________________________
Bride’s Father Name: __________________________________
Mahar Amount (dowry): ______________________________
Select all applicable: ☐ Deferred ☐ Don’t Disclose ☐ Disclose
Two Male Witnesses
Name 1: _________________________________________________
Name 2: _________________________________________________
Name of Bride’s Representative (wali): ____________________________________________
Relationship to Bride: _______________________________________________________________
Date of Marriage License: _____________________ Location: _________________________
*Imam will not wait more than 15 minutes for the participants*
REMINDERS:
• Bring a copy of your marriage license
• Bride and Groom are required to bring picture ID and two male witnesses.
• Reasonable honorarium for the Imam must be given directly to him.
• Masjid fee, if applicable, must be paid in advance; see event form.
• Read guidelines and rules prior to the event.