New Born Registration

New Born Registration

Are you an office holder filling this form on behalf of another member?
*
NOYES

If yes, please fill out your Information in office holder information section.

Father details

Member Code *

First Name *

Middle Name

Last Name *

E-Mail *

Home Phone *


Enter a Canadian phone number (e.g., 4165551234 or 416-555-1234).

Mobile Phone

Work Phone

Jama'at *

Relationship to child *

Mother details

Member Code *

First Name *

Middle Name

Last Name *

E-Mail *

Home Phone *


Enter a Canadian phone number (e.g., 4165551234 or 416-555-1234).

Mobile Phone

Work Phone

Jama'at *

Relationship to child *

Child Details

First Name *

Middle Name

Last Name *

Gender *
- Select -MaleFemale

Date of Birth *

Waqf Nau *
YesNo

Waqf Nau No


If Waqf Nau is Yes, enter the Waqf Nau number (if available).

Country of Birth *

Birth Certificate (if born outside Canada)


Max 2 MB. Allowed types: gif, jpg, jpeg, png, pdf.