Muslim Marriage Certificate Application Form


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			MARRIAGE CERTIFICATE APPLICATION: Email? State? City? Street&No.?? Date of Marriage? GROOM Legal Name? Date of Birth? Father Name? Mother Maiden Name? BRIDE Legal Name? Birth Date? Father Name? Mother Maiden Name? Wali Name? Witness#1? Witness#2? Witness#3? Wedding official? Title? Phone#? Married at Masjid? Name of Masjid?
Comments:

Muslim Marriage Certificate Application
Note: Submit Marriage Affidavit. Marriage Information must already be on file or must accompany this
application for issuance. Fee is $20.00 + $3.00 S/H. Separate fee for Filing is waived. Payable Postal M.O. or
Credit Card.

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Muslim "Marriage Registration" Form
Submit Marriage Affidavit along with completed form. Fee is $10.00 payable by Postal M.O.
or Card, Cashier's Check or Certified Check


	Your name:



Your email address:



Your phone number:


		Email Address: Groom Name: Bride Name: Groom Father Name: Groom Mother Maiden Name: Bride Father Name: Bride Mother Maiden Name: Bride Wali Name: 1st Witness Name: 2nd Witness Name: Wedding Official Name: Wedding Official Title: Date of Marriage: City/State of Marriage: Groom Date of Birth: Bride Date of Birth:
Comments:

Muslim Vital Records, P.O. Box 305, Oaklyn, N.J. 08104