Brief Account For Encyclope dia Indica Shiaii
Name
Present-day Shia Intellectuals— Ulema, Scholors, Poets & Litterateurs etc.
Please attach passport size photograph
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Father's Name……………..----------------------------------------------------------------------------------------------------------------------------------Date & Place of Birth……………………………-----------------------------------------------------------------------------------------Teachers……………..------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Students (Distinguished…………..----------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Qualifications………………..--------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Professional & Technical Qualification....................................................-----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Field of Specialization…………
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------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Books/Works (with size, no. of pages and publication details)
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Occupation……….----------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Office Address……………………-------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Local Address………………..--------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Permanent Address…………….----------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Office Phone………………..----------------------------------------- Residence Phone…………………………….. E-mail……--------------------------------------------------------------------------- Mobile……………….--------------------------------------------If you hold some responsible position in an organization, please. give name, nature, address, phone no., e-mail etc. of the organization and its; website (if any)/
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Plz. give a brief information of Shia intellectuals and their social history of your locality/
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Signature
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Date
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Place
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Note:- Plz. attach also a post-card size or larger 'full length' photograph Plz. use separate sheet(s), if necessary
Noor-e-Hidayat Foundation Imambara Ghufranmaab, Maulana Kalbe Husain Road, Chowk, Lucknow-3 Mob: 08736009814 Ph: 0522-2252230 - 0522-4062731 E-mail: noorehidayat@yahoo.com noorehidayat@gmail.com website: www.noorehidayatfoundation.org