Your Application is for: Required Field ReconciliationArbitrationIslamic Divorce and Mediation
Application By: Required Field HusbandWifeBoth
State of Application: Required Field NSWVICACTSAQLDWA
Surname: Required Field
Given Name: Required Field
Date and Country of Birth: Required Field
Email:
Mobile: Required Field
Address: Required Field
Postal Address if diffirent from above:
Occupation: Required Field
Language Spoken: Required Field EnglishArabicUrduTurkish
Select which panel Required Field EnglishArabic
Other:
Do you need an interpreter: Required Field YesNo
Residentail Status: Required Field Australian CitizenPermanent ResidentSpouse Visa HolderOther (Please Specify)
date and Country of Birth: Required Field
Mobile:
Occupation:
have you been married previously?: Required Field YesNo
How many Times?
How many children do you have from previous marriage?
How was the previous marriage(s) ended?
Is there an intervention order?: Required Field YesNo
Date of Islamic Marriage:
Place of Islamic Marriage:
Is your marriage registered in Australia?: Required Field YesNo
Total Dowry:
Immediate Payment:
Deffered Payment:
Have you been living seperately?: Required Field YesNo
If yes, date of seperation
Have you applied for a civill divorce? Required Field YesNo(If yes, please prepare a copy of the application to bring forward.)
Have you received civill divorce? Required Field YesNo(If yes, please prepare a copy of the divorce certificate to bring forward.)
Have you participated in counselling? please explain
Do you think there is a posibility of reconsiliation with your spouse? If no, please give reason.
How many Male children?
The ages of male children? (eg: 10, 13, 17)
How many Female children?
The ages of femalechildren? (eg: 10, 13, 17)
Please explain child visitation and custody arrangements?
Comments:
Please be aware that the following fees apply
Documents will not be issued until payments are received. By checking this box, you agree to our terms and agree to pay the CARD Organisation fees