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Dars Request Application
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* Indicates required question
About the Event:
When is Dars Requested
*
MM
/
DD
/
YYYY
Please provide 'Start-time' for the Dars
*
Time
:
AM
PM
What is the Occasion for conducting this Dars
*
Your answer
Select Language to be conveyed in
*
English
Urdu
Other:
Required
What is the 'Topic' of Dars
*
Your answer
Estimated No. Of Attendees
*
Your answer
Preferred Speaker requested
*
Your answer
Response requested by Date
*
MM
/
DD
/
YYYY
Which city is Dars requested in
*
Your answer
Dars Venue
*
mention complete address where Dars is going to be conducted
Your answer
About the Requester/Host:
Full Name
*
full name + last name
Your answer
Contact Home Phone
Your answer
Contact Cell No.
*
Your answer
Email Address
*
Your answer
How are you connected to Al Huda?
*
Staff
Student
Ex-Graduate
Regular Listener
Casual Visitor
Other:
Required
What best describes you:
*
Working full-time
Working part-time
Professional in a field
Stay -at-home mom
Other:
Required
About the Audience:
Type of Audience
*
Women only
Segregated (Men & Women)
Mixed
What best describes the majority of your audience:
*
Regular Al Huda comers
Active Students
Keen Deen Learners
Neutral
Other:
Required
Other Notes:
Your answer
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