APPLICATION FOR AN ISLAMIC DIVORCE
قال رسو ُل الل ِه َص َّلى ٱل ََّّٰل ُه َعلَ ْي ِه َوا ِل ِه َو َس َّل َم اَب ْ َغ ُض ا ْل َحلاَ ِل ِالَى ال َّل ِه ال َّطلا َُق
The Holy Prophet Mohammad (s.a.w.) said “The most hated of permissible things to Allah is divorce.
YOUR FULL NAME :
SPOUSE’S FULL NAME :
DATE OF MARRIAGE : PLACE OF MARRIAGE:
ADDRESS : YOUR ADDRESS YOUR SPOUSE’S ADDRESS
HOUSE NO: HOUSE NO:
STREET NAME: STREET NAME:
POST CODE: POST CODE:
TEL: TEL:
EMAIL: EMAIL:
MAHR DOWER TOTAL PAID : £ TOTAL UNPAID IF ANY : £
WHAT ARE THE ISLAMIC
REASONS FOR DIVORCE
PLEASE GIVE FULL DETAILS
IF THIS SPACE IS NOT ENOUGH PLEASE CONTINUE ON A SEPARATE PAPER
IF YOU HAVE ANY CHILDREN FULL NAME OF CHILD AGE GENDER
FROM THIS MARRIAGE PLEASE
1)
GIVE DETAILS IN THE FORM
2)
3)
4)
5)
6)
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WOULD YOU CONSIDER
ISLAMIC
RECONCILIATION?
IF YES PLEASE STATE IT
CLEARLY
IF NO PLEASE GIVE
REASON WHY IN DETAIL
IF THIS SPACE IS NOT ENOUGH PLEASE CONTINUE ON A SEPARATE PAPER
FOR WOMEN BEGINNING DATE END DATE
FOR ISLAMIC DIVORCE PURPOSES The day on which the period begins The day on which the period ends
WE NEED TO KNOW
THE NUMBER OF DAYS AND DATES
OF YOUR MONTHLY PERIOD.
ARE YOU CURRENTLY ON YOUR
PERIOD?
THE FOLLOWING DOCUMENTS Documents Tick the
ARE REQUIRED TO READ THE box
ISLAMIC DIVORCE. PLEASE
1) Your UK Passport Copy
CONFIRM YOU CAN
PROVIDE THE DOCUMENTS 2) Your spouse’s UK Passport Copy
LISTED.
3) Marriage certificate copy
ISLAMIC DIVORCE FEES AMOUNT. £300
I CERTIFY THE INFORMATION NAME DATE SIGNATURE
I PROVIDED ON THIS FORM IS
TRUE AND CORRECT TO THE BEST
OF MY KNOWLEDGE.
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