Application for Nikah

PROCEDURE:

1) Carefully read and understand all the guidelines listed

2) Complete and send in this application

3) Once submitted you will be contacted via email to confirm your requested day and time

4) Pay the $350 nonrefundable service fee by visiting jamimasjid.org and clicking donate. Please email a copy of your receipt.

5) If you wish to rent the downstairs gym or cafeteria this requires a separate hall rental form.

GUIDELINES:

1) No photography or video of any type is allowed anywhere on the Jami Masjid premises.

2) No music is allowed in the masjid.

3) No mixing between men and women.

4) No food or sweets is to be distributed inside the prayer hall unless approved in advance. Boxed sweets can be given on the way out.

5) The sister's section is completely separate. Women will only be able to hear the nikah proceedings but will not be able to see it.

6) Jami Masjid reserves the right to refuse the performance of a nikah without reason.

Groom's name

First Name

Last Name

Groom's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Bride's name

First Name

Last Name

Bride's Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Nikah Requested Date

MM

DD

YYYY

Nikah Requested Time

Hour

Minute

Second

Full Name of Bride’s Representative

First Name

Last Name

Full Name of First Witness

First Name

Last Name

Full Name of Second Witness

First Name

Last Name

Agreed Upon Mahr

$

Primary Contact Person Name

First Name

Last Name

Primary Contact Person Phone

(###)

###

####

Primary Contact Person Email

By what method did you submit the $350 service fee?

By Submitting this form, I agree to and have read the nikah guidelines

I agree that I have read the Nikah guidelines and will abide by them

Operating as Muslim Society of Buffalo

office@jamimasjid.org •1955 Genesee Street, Buffalo, New York - USA