| PRINT AND MAIL: MMCA, P. O. Box 553, Camden, N.J. 08104 Last __________________________ First _________________________________________ Date of Birth ______ Address: ___________________________________ Mother Name: ____________________ Last ___________________________ First ________________________________________ Date of Birth _______ Address: ___________________________________ Mother Name: ____________________ Month __________ Date ____ Year _______Time _____ A/M - P/M City __________ State ____ Street & Street number ________________________________ Title ________ Last Name ________________________ First _________________________ Relationship to Bride ________ Name __________________ Phone# ___________________ Address _______________________________________________ Name ___________________________________ Age ______ Phone# _________________ Name ___________________________________ Age ______ Phone# _________________ _____________________________________ |
| Muslim Vital Records.com A National Registry of Muslim Marriage and Divorce with data & information sharing. |
| 24:32 (Y. Ali) marry those among you who are single, or the virtuous ones among yourselves, male or female: if they are in poverty, Allah will give them means out of His grace: for Allah encompasseth all, and he knoweth all things |
| This Certificate, while verification of legitimate marriage in Islam and acceptable in Islam, may or may not be acceptable to some US Government Agencies, state, county or local government agencies. Disclaimer |
| Muslim Marriage Certificate Application Sworn Affidavit of Marriage must accompany this application for issuance. Fee is $20.00 + $3.00 S/H. Payable Postal Money Order P. 0. Box 553, Camden, NJ 08101 or PayPal/Credit Card. |
| Groom "Legal" Name: |
| Bride "Legal" Name: |
| Date of Marriage: |
| Place of Marriage: |
| Wedding Official: |
| Groom Email Address |
| Witness #2 |
| Witness #1 |
| Wali/Wakil |
| If you wish to "only register" your marriage, without being issued Marriage Certificate, please fill out Marriage Registration Form along with Sworn Marriage Affidavit along with fee of $20 [Twenty Dollars] payable by Postal Money Order, P.O. Box 553, Camden, N.J. 08101 or through Paypal |
| Applications Form. |