MAJ - Janaza Services Request form

JANAZA SERVICES

Request form
Contact Infomation

For In-Town Janaza

1. Br. Adam Jahankeer - 416-885-1806

2. Br. Shiraz Mohideen - 416-522-4645

For Out of Town Janaza

1. Br. Zubair Mahmood - 416-844-3817

2. Br. Adam Jahankeer - 416-885-1806
In TownOut of Town (Ghaib Janaza)
YesNo
Masjid Al JannahElsewhere
RAMADAN GHAIB JANAZA PRAYER UPDATE

1. After ASR

2. After the completion of the Tharaweeh Bayans

3. After ASR on the weekend
Yes
YesNo
Yes
Name of submitter*

First NameLast Name
Phone Number of submitter*
Please enter a valid phone number.Format: (000) 000-0000.
Relationship to deceased*
Address*

Street Address

CityProvince

Postal CodeCountry
Email*
example@example.com
Details of the deceased
Name of deceased*

First NameLast Name
Date of death*

MonthDayYear
Date
Place of death*
Location and address of Janaza prayer*
Date and time of Janaza prayer*

MonthDayYear
Date
Hour MinutesAM/PM Option
Janaza viewing time*

Hour Minutes

AM/PM Option

Until
until
Hour Minutes

AM/PM Option
Who will conduct the Janaza prayer*
Ghaib Janaza details
Date of Ghaib Janaza prayer*

MonthDayYear
Date
Time*
Date and Time of Ghaib Janaza Prayer*
Location of Ghaib Janaza prayer*
Who will conduct Ghaib Janaza prayer*
Time of Ghaib Janaza prayer*
Additional relatives details of the deceased*
Any other details*
Signature of submitter*

Clear
By signing this form I absolve MAJ of any errors or omissions in communication due to misinformation provided by the submitter of this form. I also acknowledge that I have been permitted by the family to provide this information to MAJ.
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JANAZA SERVICES