| Your Firstname | Your Spouse Firstname | Your Surname | Your Spouse Surname | Upload your photo here | Upload your spouse photo here | Your Passport / ID Number | Your Spouse Passport / ID Number | Date of Marriage | Place of Marriage | Your Address | Your Spouse Address | Your Phone | Your Spouse Phone | Your Email | Your Spouse Email | Your Employer's Address | Your Spouse Employer's Address | Your Work Telephone Number | Your Spouse Work Telephone Number | Total Mahr (Dowry) Agreed | Paid So far | Due | Do you have any children? | Your Children detail (Name, age and sex) | Year Islamic reason for divorce | Year spouse Islamic reason for divorce | Your conditions for reconciliation | Your spouse conditions for reconciliation | Name | Address of the centre | Telephone | Last month period starting Date | Last month period ending Date | Last date of intimate relation with your spouse | Upload your documents here | ||
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| Sanaz | Mohammadali | Samyani | Khalkhali Fatmehsari | 8C32A984-915E-435E-8F92-9204B40E9EEF.jpeg | AD0EEF44-3905-470C-9976-D02830EBB7CE.jpeg | E96010656 | N95884350 | 25/06/2018 | Islamic Centre of England | Flat 10, 56 Kingston Road New Malden Surrey, England KT3 3LZ GB | Classico Hair Salon 76 Station Road, Hampton , England TW12 2AX GB | 07456444119 | 07988076384 | sanaz_samyani@yahoo.co.uk | dj.barfi@yahoo.com | Grand Avenue primary school 52 Grand Avenue Surbiton, England KT5 9HU GB | Classico Hair Salon 76 Station Road Hampton, England TW12 2AX GB | 02083995344 | 020 3092 7867 | يك جلد كلام الله مجيد ، يكدست ايينه شمعدان و يك شاخه گل رز قرمز | NO | My husband has lied to me on several times. I was not able to live with him as I have lost my trust with him. | No | 22/05/2021 | 27/05/2021 | 25/12/2020 | FB68AD1A-B704-4378-AF16-2BFD3274346F.jpeg 033FD14F-B280-4BCF-98A4-9D1A1477FBBC.png FFA87C36-F7EB-41CF-8F0A-385D85ED24A6.jpeg 66359F83-0EFE-43B1-9426-5F349981D732.jpeg 6CDAF6D3-247E-4AAB-A351-6BEEAA431553.jpeg F407112E-C902-4664-8749-05F7BCCF8ED3.jpeg 7F18D75D-045C-4790-92AF-9C2B52E5B18F.png 6A553D84-FA5F-49D2-9305-D7F539362AFF.png B272151E-157A-4258-ADC1-199998C5F9B5.png 8CDBD78E-444C-4153-BBED-5726C37421FB.png | ||||||||||
| my | you | myself | youself | Timetable-English-November-2020.jpg | Timetable-English-January-2021.jpg | rtyty | yyy | rtytryty | rtytryrty | ytrtyrty rtyrtytr rtyrtytr, tyrtytry tyty AF | ytrtyrty rtyrtyrty rtyrtyrtyt, rtytytry ytytyt AF | 000000000000 | 00000000000000 | sdffsf@hfgh.com | rgererghe@yjhfhfg.com | dddd ddddd dddddddddddd, d dddd AF | ddd dddddd ddd, dddd dddd AF | 222222 | dsdsd | sdfsdf | sdfdsfds | dsfsdfsdf | YES | dsfdsfsdf dfdcfsdfsdvf dgsdfg | gsdfg | sgsgsdg | sdgsdg | sgsdgsdggdsgds | sdgsdg sdgsdg sgsdgsd, sdgsdgsd sdgsdgds AF | sdgsdgsd | sgsdgsd | sdgsdg | sdgsdg | Timetable-English-November-2020.jpg | sgsdgsdgsd |
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