Karbala Ziyarat registration form.

Submitted by admin on 21 March, 2011 - 09:30

All Mumineen who have not done Karbala Ziyarat even once in their lifetime, are requested to fill this form online. This form requires your photo and passport details, please keep it handy.

You can even Download the form and submit it Raj Cyber cafe, Fakhri Sons, Excellent engineering enterprises, or Saleh sons

Printed forms are available at Fakhri Sons, Excellent engineering enterprises, or Saleh sons. Contact Aliasger Bhai Murtazavi for any other details or questions.

College group:

Yes

Do you want to register for College goers group leaving tentatively around 15th June 2011 ?

Full Name: *

Enter your full name.

E-Jamaat Number: *

Address: *

Enter your full home address

Upload your photo: *

Please upload your passport size photo, which should be less than 1MB.

Phone: *

Enter landline or mobile number

Mobile:

Enter your mobile number

Centrex:

Enter your centrex number if you have

Occupation Others:

If any other occupation, enter here.

Reason for not going to Karbala : *

Reason others:

Enter if any other reason for not going to Karbala

When do you plan to goto Karbala: *

Immediate

Next 6 months

Next one year

Next two years

Select one option

Passport:

Yes

Do you have a valid passport, If No please enter the date of birth below. If yes please fill in all the details AS IN YOUR PASSPORT

Date of birth: *

Passport Number:

Enter Passport Number

Nationality:

Enter your nationality or country of birth

Place of Birth:

Enter your place of birth as in the passport

Place of Issue:

Enter the place of Issue of passport

Date of Issue:

Date of Expiry:

Date of expiry of passport

Father's name:

Enter Father's Name as in Passport last page

Mother's Name:

Mother's Name as on Passport's last page

Karbala Ziyarat registration form.

Online Forms

E-Jamaat Forms (PDF)

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