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Instrument No.

: 39551953 In the Name of Allah, Kingdom of Saudi Arabia


Most Gracious, Most Merciful
Date: 1439/03/24 Kingdom of Saudi Arabia
(December 12, 2017) Ministry of Justice
[277]

Ministry of Justice
Settlement Circuit of the Civil Status Court in Northern Riyadh
Third Settlement Circuit, Office No. 3

Marriage Contract Statement for the Wife

Praise be to Allah Alone and Prayers and Peace on the Final Prophet
Before me: Abdul Azeem bin Dawood bin Suleiman Al Ateeq, the Judge at the Settlement Circuit of
the Civil Status Court in Northern Riyadh, appeared:

Nationality ID No. ID Type Attribute Name of the Husband


Syrian 2113915033 Iqama Principal Abdul Rahman Bahjat-Ghazal

Status of the Wife: Maiden


Nationality ID No. ID Type Name
Filipino 2386491894 Iqama Shadett Borja Elizalde

Dowry: Three Thousand Saudi Riyals is received, and Three Thousand Saudi Riyals is to be paid later
Conditions of the Wife: No conditions

Whereby, I addressed the husband by pronouncing: Shadett Borja Elizalde is your wife based on the
dowry and conditions mentioned above, to which he replied that he accepts this marriage.

The bride is a new convert to Islam in accordance with Certificate of Conversion to Islam
Notes:
No. 405/19/63 issued in Riyadh on 15/03/1439 (December 2–3, 2017)

In the presence of the following witness:


Nationality ID No. ID Type Name
Jordanian 2035984265 Iqama Alaa Al Din Muhammad Hasan Najjar
Egyptian 2057147353 Iqama Muhammad Samir Metwali Al Sisi

Based on the abovementioned statement, the marriage contract was executed with the consent of the
wife’s guardian and the acceptance of the husband after fulfilling the conditions and obligations and
the absence of hindrances in their marriage.

Prayers of Allah upon our Prophet Mohammed, his family, and his companions. This is executed and
attested on 24/03/1439 (December 11–12, 2017).

Judge Official Stamp


(Signed)
Abdul Azeem bin Dawood bin Suleiman Al Ateeq

Translation Document Control Name: LXTR-S.Elizalde-190417A-ML