For Encyclopedia Indica Shiaii
Hkkjrh; f'k;k fo'odks"k ds fy,
Brief Account/laf{kIr fooj.k
Present & Past Imamia Calligraphers, Painters & Photographers orZeku o HkwriwoZ dkfrc] isUVj] Q+kVs ksxzkQ+j
Please attach passport size photograph
d`I;k ikliksVZ lkbt+ Q+ksVks yxk,a
Name/uke------------------------------------------------------------------------------------------------------------------------------------------------------------------------Father's Name/firk
dk uke---------------------------------------------------------------------------------------------------------------------------------------
Date & Place of Birth/tUe Teachers/
frfFk rFkk tUe LFkku-----------------------------------------------------------------------------------------------
fo'ks"k f'k{kd------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Qualifications/'kSf{kd
;ksX;rk-------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Profession/O;olk;--------------------------------------------------------------------------------------------------------------------------------------------------------A Brief Account of creations/Designs/dyk
d`fr;ks@ a fMt+kbuksa dk laf{kIr fooj.k----------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Office Address/dk;kZy;
dk irk------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Local Address/LFkkuh;
irk-----------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Permanent Address/LFkk;h
irk----------------------------------------------------------------------------------------------------------------------------------
-----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------
Office Phone/Q+ku s E-mail/bZ&esy
dk;kZy; ----------------------------------------- Home Phone/Q+kus fuokl ----------------------------------------
----------------------------------------------------------------------------- Mobile/eksckby -------------------------------------------------
Date of Expiry/nsgkUr
dk o"kZ] frfFk-------------------------------------------------------------------------------------------------------------------------
Place of Death/nsgkUr
dk LFkku---------------------------------------------------------------------------------------------------------------------------------
Place of Burial/n¶+u
gksus dk LFkku--------------------------------------------------------------------------------------------------------------------------
Chronogramme (Tareekh) of death/nsgkUr
dh ^rkjh[k+* ¼o"kZ&x.uk&dkO;½-------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Source/lzksr-----------------------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Name, address, phone nos. etc of person reporting/lwpuk
nsus okys dk uke] Qksu vkfn-----------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Signature/gLrk{kj
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Date/fnukad
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Place/LFkku
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Note:- Plz. attach also a post-card size or larger 'full length' photograph
uksV%& ;fn gks lds] rks ,d iksLVdkMZ lkbt+ ;k cM+k Q+kVs ks Hkh layXu djsAa Plz. use separate sheet(s), if necessary
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Noor-e-Hidayat Foundation
uwjs fgnk;r Q+km.Ms'ku
Imambara Ghufranmaab, Maulana Kalbe Husain Road, Chowk, Lucknow-3 Mob: 09335276180 Ph: 0522-2252230 - 0522-4062731 E-mail: noorehidayat@yahoo.com noorehidayat@gmail.com website: www.noorehidayatfoundation. org
bekeckM+k xqQ + +jkuevkc] ekSykuk dYcs gqlSu jksM] pkSd] y[kuÅ&3 eksckby% 09335276180 Q+kus % 0522&2252230 & 0522&4062731 bZ&esy% noorehidayat@yahoo.com noorehidayat@gmail.com
osclkbV: www.noorehidayatfoundation. org