Filipino Muslim ID Card with Last Will & Testament Online Application

Application Type-(Uri ng aplikasyon)*

Reason for Replacement-(Dahilan ng pagpapalit)*

Entry Type-(Uri ng Entry)*

Muslim Name-(Pangalan sa Islam) *

First Name, Middle Initial, Last Name (Ex. Fulan A. Kareem)

Date of Conversion

MonthDayYear

Given Name as appeared on your Birth Certificate- (Pangalan kaparehas ng nasa Birth Certificate)*

First NameLast Name

Male (Lalaki)Female (Babae)

Date of Birth-(Araw ng kapanganakan)*

MonthDayYear

Current Address-(Kasalukuyang Tirahan)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Delivery Address-(Tirahan kung saan ipapadala ang Card)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Personal Reference *

(Example: Imam, Ustadz, Muslim Brother/Sister, Friend)

Contact No.*

Address:*

Smart/TNT

09XXXXXXXXX

Globe/Touch Mobile

09XXXXXXXXX

Other Contact Number

Area CodePhone Number

E-mail*

Contact Person in Case of Emergency-(Pangalan ng taong makikipagugnay sa panahon ng emerhensiya)*

Relationhip- (Relasyon sa Contact Person)*

(Example: Father, Mother, Sister, Brother, Uncle, Aunt, Nephew, Friend)

Contact Number-(Numero)*

Attach (1) any of the following (photocopy)*

Upload a File

NSO Birth Certificate, Barangay Clearance, Police Clearance, NBI Celarance

Attach (1) Valid ID with picture and signature*

Upload a File

(Example: School/Company ID, TIN Card, SSS Card, Phil-health, Passport etc.)

TESTIMONY OF FAITH

In the Name of Allah, the Most Beneficent, the Most Merciful

Praise be to Allah; peace and blessings be upon His prophets and Messengers and upon the final prophet and Messenger Muhammad (P.B.U.H.)

I am a Filipino Citizen who had been previously an adherent to other religion expressing my desire to embrace the Islamic Faith. I understand in general, the principles and the essence of Islam, its pillars, the lawful and unlawful in accordance with Islamic Legislation (Shari'ah).

Hence, I reiterated and acknowledged Islamic Faith me saying that:

أشهد أن لا إله إلاَّ الله و أشهد أن محمد رسول الله

I bear witness that there is no God but Allah and I bear witness that Muhammad is his servant and Messenger.

May Allah, the Almighty guide me permanently along the straight path. Verily, Allah is the best guide.

Ameen

*******************************************************

Privacy Statement and Consent

Sa paggamit ng website na ito, maaari naming kolektahin at hawakan ang iyong personal information upang ikaw ay aming lubos na makilala at upang magkaroon ng ugnayan sa pagbibigay sa iyo ng mga serbisyo sa hinaharap. Maaaring kasama sa personal information ang mga detalye tulad ng iyong pangalan, edad, kasarian, date of conversion (kung ikaw ay balik Islam) at impormasyon sa pakikipag-ugnay.

Ang pagpili ng kung gaano karaming impormasyon ang iyong ibinibigay sa amin ay iyo. Hinahanap namin ang impormasyong ito upang maiproseso ang iyong kahilingan para sa pagkakaroon ng Muslim Identification Card.Upang masiguro ang seguridad ng mga nakokolektang impormasyon, kami ay gumagamit ng Secured Socket Layer Service upang protektahan ang mga data mula sa mga panganib tulad ng pagkawala o hindi awtorisadong pag-access, pagkasira, paggamit, pagbabago o pagsisiwalat nito.

Maaaring ma-disclose ang iyong Personal Data kung kinakailangan sa paniniwala na may mabuting pananampalataya na ang naturang aksyon ay ganap na kinakailangan upang (a) sumunod sa isang legal na obligasyon, (b) protektahan at ipagtanggol ang mga kapatid sa pananampalatayang Islam, (c) kumilos sa mga kagyat na kalagayan upang protektahan ang personal na kaligtasan ng mga gumagamit ng Site o ng publiko, o (d) maprotektahan laban sa legal na pananagutan.

How to Contact UDCL

Please also feel free to contact us if you have any questions about UDCL’s Privacy Statement and Consent or the information practices of this Site.

You may contact us as follows:

United Da’wah Centers of Luzon
DP Subdivision Barangay Bayanihan
Gapan City Nueva Ecija,
Philippines
Tel: (+63) 927 8048529

Email: udclph@gmail.com

DISCLAIMER & TERMS OF USE

United Da'wah Centers of Luzon (UDCL) provides free Islamic services for all Filipino Muslims with sound mind. UDCL is not responsible for, and expressly disclaims all liability for, damages of any kind (direct or indirect) arising out of use, reference to, or reliance caused by the bearer of this ID Card.

United Da'wah Centers of Luzon (UDCL) will use or disclose your personal information in response to subpoenas, court orders, warrants, or legal process, or to otherwise establish or exercise our legal rights or defend against legal claims.

UDCL will use and disclose your personal information if we believe you will harm the property or rights of UDCL, its officers and personnel, or those of UDCL member organizations. Finally, we will use or disclose your personal information if we believe it is necessary to share information in order to investigate, prevent, or take action regarding illegal activities, suspected fraud, terrorism, situations involving potential threats to the physical safety of any person, or as otherwise required by law when responding to subpoenas, court orders and other legal processes.

I Agree