Greenwich Madina Trust

Certificate of Muslim Marriage

UK Registered Charity No. 1129277

Ghousia Masjid | 56 Camrose Street, Plumstead, London SE2 0JA

Tel: 020 8854 8691 | Email: info@greenwichmadinatrust.org.uk

Certificate No.

786 –

Please ensure this form is filled out at least 48 hours before the ceremony.

Fill in online

Fields shaded in grey will be completed on the day of the Nikah ceremony

Marriage Details

Place of Marriage *

Date of Marriage *

Amount of Mehar *

Groom's Details

Full Name *

Address *

Date of Birth *

Marital Status *

Father's Name & Address *

Bride's Details

Full Name *

Address *

Date of Birth *

Marital Status *

Father's Name & Address *

Signatures

Groom's Signature

Bride's Signature

Witnesses to Consent of Marriage

Witness 1

Name & Address *

Signature

Sign on printed copy

Witness 2

Name & Address *

Signature

Sign on printed copy

Official Endorsement

Name & Signature of Imam

Name & Signature of Chairman or Secretary