SWORN MARRIAGE AFFIDAVIT BY COUPLE
I, ___________________________, husband, and I, ___________________________, wife, swear, that we were married
[Mother maiden name: _________________________] [Mother maiden name: ________________________________]
in a proper Islamic Wedding Ceremony on the _______ day of _____________________, 200__, and the official who
performed the ceremony is ____________________________. Husband date of birth is ____________, 19__. Wife date
of birth is ____________, 19__. The wali/wakkil name is _____________________________. The Muslim witnesses are
_______________________________ and _________________________ and ____________________________________
and the Ceremony was performed at ____________________________________________
We swear by Allah, azza wa jal, author of the glorious Qur'an and Lord of the Worlds, four times in the name of
Allah that we are truthful and invoke curse for the fifth time saying: Let there be curse of Allah upon us if we are
among the liars, and we invite the curse of Allah, azza wa jal, upon us and invite that we be punished, if we
deliberately lie, and we further swear by Allah, Most High, that what we state here is true to the best of our
information and belief, and we hereafter submit this Notarized Affidavit, notarized by a person authorized by our
state, to take oaths and verify our identify, in support of our Application for issuance of a Marriage Certificate from
Muslim Vital Records.
We believe in Allah, Most High, Lord of the Worlds, and we witness that Muhammad [P] is the final Messenger of
Allah.
Husband Signature:.......................................... Wife Signature:.............................................................
Notary Signature .........................................
Note: This Affidavit MUST be NOTARIZED and signed
SWORN MARRIAGE AFFIDAVIT BY WEDDING OFFICIAL
I, _______________________________, am Muslim and the person who performed the Marriage Ceremony of
______________________________ and _________________________ on the _______day of _______________, 200__
Date of Birth:__________________ Date of Birth:_________________ at ______________________________________
[Husband] [Wife]
The Muslim witnesses were: __________________________ and _______________________and ______________________
The Wali/wakkil was ___________________________________
I swear by Allah, azza wa jal, author of the glorious Qur'an and Lord of the Worlds, four times, in the name of Allah
that i am one of the truthful and invok curse for the fifth time saying: Let there be curse of Allah upon me if I lie and I
invite the curse of Allah, azza wa jal, upon me and invite that I be punished, if I deliberately lie, and I further swear
by Allah, Most High, that what I state her is true to the best of my information and belief, and I hereafter submit this
Notarized Affidavit, notarized by a person authorized by my state, to take oaths and verify my identify, in support of
this Application for issuance of a Marriage Certificate, for the couple mentioned herein, from Muslim Vital Records.
Signed:__________________________________
[Wedding Official]
Notary:__________________________________
Copy appropriate form and mail along with $20.00 Marriage 'Certificate Fee' plus $3.00 S/H. $10.00 filing fee is
waived. Send via regular mail to: Muslim Vital Records
P.O. Box 305
Oaklyn, N. J. 08107
This include cost of Marriage Certificate ONLY. To complete application also fill out Marriage Certificate
Application by tapping this link. If you wish to ANNOUNCE the wedding tap on this link and fill out proper form. If
this is done the marriage will be ANNOUNCED HERE.
Muslim Marriage Certificate Application
Note: Marriage Information must already be on file or must accompany this application, along with
affidavit or other proof, being mailed to Muslim Vital Records, P.O Box 305, Oaklyn, N.J. 08107, for
issuance. Purchase of Certificate will include marriage 'Registration' as well. Fee is $20.00 + $3.00
S/H. Separate fee for 'Registration' is waived.
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