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THE SAIFEE BURHANI QARDAN HASANA

Application Form
Title
First Name
Middle Name
Last Name
Date of birth*
dd/mm/yyyy
Profession*
ITS number*
Applicant photo*

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Address
City
ZIP / Postal Code
Country
Email*
Phone*
Mobile*
Marital Status

SingleMarriedWidower
Educational qualification
Offered wajebat
Offered sabeel
Jamaat Membership number*
Business

BusinessEmployed
Company/Organisation name*
Address
City
ZIP / Postal Code
Country
Job description*
Upload supporting documents (including safai chitthi)

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Type of Qardan Hasana*
Amount of Qardan Hasana required*
Repayment by monthly instalment of*
For how many months?*
Cheque to be made under the name of*
Do you have any Qardan Hasana outstanding?*
Name of the organization
No. of instalments
Total amount
Are you dealing in interest (Riba) of any sort?*
if YES than Please provide details
Signature
DateTime
Please verify that you are human*
Terms & Conditions

Jamat safai chitthi must be submitted with the application. Only completed applications will be considered for discussion during the meeting.Repayment must be made by post dated cheques issued by the applicant only. Third party cheques will not be accepted.Standing order/direct debit will be accepted.The amount and terms of the Qardan Hasana sanctioned, will be at the discretion of the trustees. The trustees' decision will be final. The applicant will be informed of the decision taken on the application.
5 Mohammedi Park Complex, Rowdell Road, Northolt, Middlesex, UB5 6AG, UK

Tel: 020 8841 5623, Email: sbqh@aeblondon.uk Website: http://aeblondon.uk
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THE SAIFEE BURHANI QARDAN HASANA