Marriage Application Form (Male)

UMM Men's Marriage Application

Today's Date:

Name

Your Age:

Address

Phone #

Ethnicity

African American Euro-American Asian South Asian African Arab Latino Native American Other

Do you prefer a mate of the same ethnicity:

Yes same ethnicity No it doesn't matter

Country of Origin

USA Citizen

Yes No

Spoken Languages

Native Tongue

Marital Status

If you have ever been divorced how many times have you been divorced?

Number of children

If yes their ages (oldest to youngest separated by commas)

School of Thought i.e. Sufi, Salafi, Maliki, Hanbali etc..

How long have you been Muslim?

I was born Muslim 1 - 5 years 6 - 10 years 11 - 15 years More than 16 years

Education

Current Employment Status

Student Employed Self Employed Unemployed

Future goals

Is Polygyny an option for you?

Yes No

Once married would you prefer your wife to:

Work Full Time Work Part Time Stay at Home Pursue a Degree

Your Interest & Hobbies

What age range are you looking for in a wife?

18 to 25 26 to 36 37 to 46 47 to 56 57 to 66 67 to 76 77 to 86 No age requirement

Please state the most important qualities that you seek in a wife e.g. age, ethnicity, education, marital history, number of children, how long have they been a Muslim, etc.

Would you like to have children?

Yes No

First Reference

1st Reference Phone

Second Reference

2nd Reference Phone

Additional Comments:

submit 2" X 2" passport style photo

Uploading, please wait...

Upload

Digital signature

Clear

I have read UMM's Marriage Application. I swear by Allah (swt) I agree to the terms of service.

Memo of Understanding: It is understood that by submitting this form you swear by Allah (swt) you have answered all questions fully and truthfully. UMM agrees to facilitate the process of a wholesome and halal pursuit of marriage by which both parties can find suitable mates. In no way can UMM guarantee that finding a mate will be successful and that any union resulting will be successful either. All information submitted will be completely confidential