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Application Form

APPLICATION FORM FOR RESOLUTION OF A DISPUTE IN

CIVIL/CONTRACT/PROPERTY/MOSQUE/MATRIMONIAL/
OTHER (Please Specify):
Or
APPLICATION FORM FOR A TALAQ

Case:

Other please specify:

 

 

 

 

day of year

 

between The Applicant

of: (correspondence address for notification)

Telephone No:
Fax No:
Email:
 
 

between The Respondent

of: (correspondence address for notification)

Telephone No:
Fax No:
Email:
 
 

Brief outline of the facts and the basis for the application:

 

 

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