Date *

Time *

Place *

First Name *

Surname *

Date of Birth *

Nationality *

Email *

Telephone *

Address *

Passport Number *

UK Resident? *

YesNo

Born Muslim? *

YesNo (embraced)

Groom Signature (Type Full Name) *

First Name *

Surname *

Date of Birth *

Nationality *

Email *

Telephone *

Address *

UK Resident? *

YesNo

Born Muslim? *

YesNo (embraced)

Has bride been married before? *

NoYes

Bride Signature (Type Full Name) *

Registered Office and Country

Certificate Number

Date of Civil Marriage

1st Witness Name *

2nd Witness Name *

Groom's Passport *

Bride's Passport *

Witness 1 Passport *

Witness 2 Passport *

Civil Marriage Certificate (If applicable)

Conversion Certificates (If embraced)

Proof of Divorce (Only if bride married before)