Haj 1430H Registration Form

Submitted by husainm on 10 January, 2009 - 11:32

Mumineen who have done Neeyat for Haj in 1430H are required to fill up this form.

Note:

1. Mumineen who had applied last year and were not confirmed, must also fill up this form

2. All applicatants are also required to fill up the form at http://www.sigatulhaj.org/ This website shall open registrations from the 1st of Shehre Safar 1430H (27th January 2009) till Yaume Milad un Nabi (SAW), 12th Rabiul Awwal 1430H (8th March 2009)

Pilgrim's Full Name: *

Pilgrim's Passport Details

Optional for Pilgrim Flight applicatants

Passport Name:

Passport Number:

Date of Issue:

Place of Issue:

Date of Birth:

Place of Birth:

Date of Expiry:

Pilgrim's Gender: *

Pilgrim's Mehramdar's Name (required for women pilgrims only):

It is requried that women pilgrims have a male Mehramdaar travling with them. Please fill in the name of the male Mehramdaar for women pilgrims

City: *

City in which pilgrim resides

Pilgrim's E-Jamaat Number: *

Mobile: *

Centrex:

Email Address:

Flight: *

Accomodation Category Preference: *

Previous Haj: *

Safai Chitthi: *

Medical Fitness (Fit to Walk): *

Haj 1430H Registration Form

Online Forms

E-Jamaat Forms (PDF)

Subscribe to BangaloreJamaat