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Thursday, 20 July 2017 24 Shawwaal 1438

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Namaaz Times

Thursday 20 July 2017
Imsaak02:42 Fajr02:52
Sunrise05:09 Zohr13:13
Sunset21:07 Maghrib21:17

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London Marhumeen

Directory of Marhumeen of The KSIMC of London and Hyderi Islamic Centre

lonodnmarhumeen

www.londonmarhumeen.com

Spouse Registration Form

Please fill in details of the individual in whose name the membership is held. This will often be the male head of household.

Members First Name (*)

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Members Middle Name

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Members Surname (*)

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Members Date of Birth (dd/mm/yyyy) (*)

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Members Email Address

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Members Mobile

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Please fill in this section of Spouses' details

Spouse First Name (*)

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Spouse Middle Name

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Spouse Surname (*)

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Spouse Date of Birth (dd/mm/yyyy) (*)

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Spouse Email Address

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Spouse Mobile

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Please fill in your address details below

Address 1 (*)

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Address 2

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Town / City (*)

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Postcode (*)

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The information on this form will be retained by The KSIMC of London for its use and may be shared amongst its sub-committees and parent organisations (CoEJ, WF) as and when necessary and requested.

We may also use the information to inform you of events/projects that we or our affiliates feel may be of interest to you. If you consent to this, please check the box below.

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