ZAMBOANGA DEL NORTE

ISLAMIC CULTURAL FOUNDATION, INC.

SEC REG. NO. 95547
ISLAMIC CENTER, Dipolog City
Philippines

MARRIAGE CONTRACT
OFFICE OF THE GRAND IMAM
Western Mindanao Region IX
PERSONAL DATA

GROOM

BRIDE

Name

_________________________________

__________________________________

Age

_________________________________

__________________________________

Civil Status

_________________________________

__________________________________

Nationality

_________________________________

__________________________________

Date of Birth

_________________________________

__________________________________

Place of Birth

_________________________________

__________________________________

City Address

_________________________________

__________________________________

Provincial Address

_________________________________

__________________________________

Religion

_________________________________

__________________________________

Name of Father

_________________________________

__________________________________

Name of Mother

_________________________________

__________________________________

Name of person who gave consent _________________________________

__________________________________

(a) Relationship

_________________________________

__________________________________

(b) Address

_________________________________

__________________________________

Date of Marriage

_________________________________

__________________________________

Place of Marriage

_________________________________

__________________________________

If convert, date of conversion

_________________________________

__________________________________

Agreed Mahar Musama (Dowry)

_________________________________

__________________________________

KNOW ALL MEN BY THESE PRESENTS:

We, __________________________________________________ and ____________________________________________
upon lawful contract between us with our free will and accord, and in the presence of our witnesses and the person solemnizing our
marriage DO HEREBY ACCEPT EACH OTHER AS HUSBAND AND WIFE.
______________________________________

_____________________________________

Groom

Bride
________________________________________
SIGNATURE OF WALI, IF NECESSARY

and I, __________________________________________________ do hereby certify that on the place and date appearing above, the
aforesaid groom and bride were officially married with their mutual consent, lawfully joined together in wedlock in accordance with
Muslim laws, rites, customs, traditions and practices in the presence of the above-named witnesses and further certify that both parties
concern have made it understood to me that a mutual and satisfactory agreement as to the settlement of the pre-nuptial requisites essential
in Muslim marriage have been reached by them.
________________________________________
Person Solemnizing the Marriage
_____________________________________
Witness

_____________________________________
Witness

_____________________________________
Witness

_____________________________________
Witness