Muslim Matrimonial Inquiry Form - Islamic Society Of The Washington Area Page 4

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What is the maximum age difference you would accept? What is your ideal age range?
Describe your expectations and requirements of your expected spouse (i.e., work/home schedule,
lifestyle pattern)
Please enclose a clear full length picture with your name signed on the back.
Reference in US:
Name:
Address:
Phone:
Name
Address:
Phone:
Declaration and Pledge
To be completed by the candidate:
1.
I __________________________________, hereby certify that the information given
in this form is true correct and complete in every respect.
2.
If there is any change in the previous information I will inform the Service promptly.
3.
I authorize the Service to utilize the information provided by me according to the
needs of the service.
4.
I pledge to keep all the information given to me by the Service as confidential and to
use it with extreme care.
5.
I promise to inform the Service as soon as marriage takes place.
6.
In the event of failure to arrange such marriage of subsequent thereto, I shall not hold
the Service responsible thereof.
I pray to Allah to help me redeem my pledge. Aameen..
Signature of Candidate_______________________________ Date____________________

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