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
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
Format: (000) 000-0000.
13. Wasiyyat number (if a Musi)
14. Rededication Date (if Applicable)

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