New Born Registration Are you an office holder filling this form on behalf of another member? * NOYES If yes, please fill out your Information in office holder information section Office holder Information Full Name * Member Code * Jamā‘at * Name of Office you are serving * Family head details: Member Code: * First Name: * Middle Name: Last Name: * E-Mail: * Home Phone: * Mobile Phone: Work Phone: Jama'at: * Relationship to child: * Child Details First Name: * Middle Name: Last Name: * Gender: * - Select -MaleFemale Date of Birth: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year2006200720082009201020112012201320142015201620172018201920202021 Waqf Nau: * YesNo Waqf nau No: Country of Birth * CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
