Your Mobile Number: *

    Email Address: *

    Relationship to bride/bridegroom *

    Nikah details:

    Date *

    Time * [time* time-842 time-format:HH:mm]

    Venue *

    Details Bridegroom Details
    		 Bride Details
    Surname *
    First Name *
    Date of birth *
    Telephone *
    Address *
    Nationality *
    You must bring the following documents (Please tick to confirm)

    Other Documents, if Applicable
    *
    *
    *
    *

    Please confirm the following persons will be present at the time of the Nikah:

    **

    I agree to pay the nikah fee of:

    Nikah Fees (£250) (*)