For Encyclope dia Indica Shiaii
Brief Account
Present & Past Imamia Hafizs & Qaris
Please attach passport size photograph
Name…….----------------------------------------------------------------------------------------------------------------------------------------------------------------------Father's Name…………-----------------------------------------------------------------------------------------------------------------------------------Date & Place of Birth………………………..--------------------------------------------------------------------------------------------Teachers…………---------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Qualifications………….----------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Profession…-------------------------------------------------------------------------------------------------------------------------------------------------------Books….------------------------------------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Office Address………………---------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Local Address……….----------------------------------------------------------------------------------------------------------------------------------------
----------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Permanent Address……….--------------------------------------------------------------------------------------------------------------------------------
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Office Phone………..-------------------------------------- Home Phone…………………..-------------------------------------E-mail…….--------------------------------------------------------------------------- Mobile…………--------------------------------------------Date of Expiry…………………---------------------------------------------------------------------------------------------------------------------Place of Death………………----------------------------------------------------------------------------------------------------------------------------Place of Burial………………….--------------------------------------------------------------------------------------------------------------------Chronogramme (Tareekh) of death…………………………………….-----------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Source……---------------------------------------------------------------------------------------------------------------------------------------------------------------------
--------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Name, address, phone nos. etc of person reporting……………………………………---------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------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: 09335276180 Ph: 0522-2252230 - 0522-4062731 E-mail: noorehidayat@yahoo.com noorehidayat@gmail.com website: www.noorehidayatfoundation.org