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Date of Nikkah*:

Time Slots*:

Groom's Last Name*:

Groom' First Name*:

Groom's Phone Number*:

Email*:

Groom's Age*:

Groom's Date of Birth (DD/MM/YYYY)*:

Groom's Religion*:

Groom's Mother's Name*:

Groom's Father's Name*:

Groom's Place of Birth*:

Groom's Passport Number/Driving License Number*:

Groom's Profession*:

Groom's Nationality*:

Groom's Post Code*:

Groom's Address*:

Bride's First Name*:

Bride's Last Name*:

Bride's Age*:

Bride's Email Address*:

Bride's Mother's Name*:

Bride's Father's Name*:

Bride's Religion*:

Bride's Date of Birth (DD/MM/YYYY)*:

Bride's Place of Birth*:

Bride's Passport/Driving License Number*:

Bride's Profession*:

Bride's Address*:

Bride's Post Code*:

Bride's Nationality*:

Wakeel's (Guardian) Last Name*:

Wakeel's (Guardian) First Name*:

Wakeel's (Guardian) Passport/Driving License Number*:

Wakeel's (Guardian) Post Code*:

Wakeel's (Guardian) Address*:

Wakeel's (Guardian) Phone Number*:

Witness Two Name:

Witness One Name:

Number of Guests*:

Any Other Information - Details of venue if other than the Islamic Centre Nottingham:

Booking Form

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Islamic Centre, Nottingham is serving around 2000 community members a month.

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