You must have JavaScript enabled to use this form. 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 * Father details: Member Code: * (If member code not assigned, write 99999) First Name: * Middle Name: Last Name: * E-Mail: * Home Phone: * Mobile Phone: Work Phone: Jama'at: * Relationship to child: * Mother details: Member Code: * (If member code not assigned, write 99999) 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: * Year Year2011201220132014201520162017201820192020202120222023202420252026 Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Waqf Nau: * YesNo Waqf nau No: Country of Birth * Birth Certificate (if born outside Canada) Files must be less than 2 MB.Allowed file types: gif jpg jpeg png pdf. CAPTCHAThis question is for testing whether or not you are a human visitor and to prevent automated spam submissions.
