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
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
Date of Islamic Marriage:
Place of Islamic Marriage:
Is your marriage registered in Australia?: Required Field
Total Dowry:
Immediate Payment:
Deffered Payment:
Have you been living seperately?: Required Field
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:
Photo ID
Marriage Certificate
Statuary Declaration
Supporting Documents in relation to the case at hand
After submitting this form, you will be asked to print or save the document. Please bring this with you
Application fee: $150
Upon Completion: $350
I truly and sincerely declare that I am a married person according to Islamic rites and seeking to resolve matrimonial disputes with my spouse in accordance with the provisions of Islamic law (Shariah).
I declare that I have appointed the Centre of Arbitration & Resolution Dispute (CARD) on my own free will to mediate or arbitrate and resolve the marital conflicts existing between me and my spouse in accordance with the provisions of the Shariah whether it be the case of reconciliation (Sulh) or divorce by Talaq, Tafreeq, Khulu’, or Fasakh (separation or annulment).
I hereby declare that I will abide by the decision of Centre of Arbitration & Resolution Dispute (CARD) made in good faith to be in compliance with the provisions of the Shariah.
I solemnly and sincerely declare that I will co-operate with the Centre of Arbitration & Resolution Dispute (CARD) in its efforts to mediate or arbitrate between me and my spouse in accordance with the provisions of the Shariah.
I acknowledge that I have read the above statement or had it read to me, explained and understood by me.
That all information provided is correct and accurate and no false or misleading information has been provided.
