Waqfe Nau Country Change Form

Waqfe Nau Country Change Form
From: Waqfe Nau Department, USA

To: Waqfe Nau Department Central, London
Following Waqif/Waqifa/Family has permanently moved to USA Jama’at. It is requested to confirm and update their record in the International database.
1. Full Name*
2. Spouse Name (if married)
3. Waqfe Nau Reference Number*
4. Reason for relocating to USA
5. Date of Relocation (MM/DD/YYYY)*

MonthDayYear
Date
6. USA Member Code:*
Enter your 5-digit member code
7. Have you done re-dedication (Question for 15+)
Detailed Particulars
1. Previous WN Reference number; if any
2. Father’s Name*
3. Grandfather’s Name*
4. Mother’s Name*
5. Gender/Sex*

MaleFemale
6. Date of Birth (MM/DD/YYYY)*

MonthDayYear
Date
7-8. Current Address*

Street Address

Street Address Line 2

CityState

Zip Code
9. Previous Jama’at Name and Country*
10. Current Jama'at Name*
11. Email Address*
example@example.com
12. Telephone number*
13. Wasiyyat number (if a Musi)
14. Rededication Date (if Applicable)

MonthDayYear
Date
Submitted by National Secretary Waqfe Nau, USA
Should be Empty: