Your name, Title & Name
of Masjid:
Address & phone # Masjid:
Email Address, phone:
Your phone number:
Submission of this form is acknowledgment of my authority to act on behalf of this masjid, and therefore I
acknowledge that we meet the above standards and submit this application of registration to Muslim Vital
Records International this _________ Day of _________________, 20___. My name and

mailing address is ___________________________________________________________________________. I
realize there may be a need to verify my information.
Comments or
Questions:
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Muslim Vital Records.com
A National Registry of Muslim Marriage and Divorce with data & information sharing.
Masajid Registration Form
We offer "Free" Registration to any traditional Muslim Masjid or Islamic Center which agree and proclaim ALL of the following and [1]  Finality of
Prophethood in Prophet Muhammad, through whom was Holy Qur'an revealed over 1430 years ago [2] which recognize and advocate Oneness and
Eternality of Allah, azza wa jal, as describe in Holy Qur'an, sura 112 [3] Accept that Holy Qur'an is eternal, pure, unchanged and Final Revelation.
We reserve the right to investigate and verify applications not meeting stated standards.