Khul'a Application - Shariah Advisory

Terms & Conditions

Please accept our terms and conditions in order to fill in the form.

I agree to the terms and conditions

1
Husband & Wife
2
Separation & Children

Applicant's Details (Wife)

Full Name

Date of Birth

Nationality

Current Status

Occupation

Contact Number

Email

Address

Husband's Details (To whom you would like to issue the divorce)

Full Name

Date of Birth

Nationality

Current Status

Occupation

Contact Number

Email

Have you been issued Talaaq before? (If Yes Give Details)

Address

Do you have a civil marriage certificate?

Upload Marriage Certificate (if any)

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Note: Inaccurate information could lead to delays or your application being rejected.

Separation Details

Date of Separation

Reconciliation attempted?

Main reason for Khul'a

Would you like us to attempt reconciliation?

Is there a restraining order?

Dispute Details

Children's Details

Are there any children?

Upload ID Proof (Optional)

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Note: Inaccurate information could lead to delays or your application being rejected.