Zakat Application at Acton Mosque

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Assalamu'alaikum,

Acton Mosque will be distributing Zakat to the local community in need. If you feel you or someone you know qualifies as a recipient of Zakat (i.e. you fall below the Nisab), please fill in the form below to apply and a member of our team at Acton Mosque will be in contact with you to schedule an appointment.

Our GDPR Commitment is as follows:

• To keep you informed as to how your data is being used.

• To keep your data secure and confidential.

• Not to pass on your data to any third party without your consent.

• Only to use your data for the intended and legitimate purpose.

Full Name (First name and Last name) *

Email address *

Phone number (mobile or home) *

You MUST bring the following documents with you. Please select what you have. *

ID (e.g. passport, driving license, etc)

Proof of address

Bank statement (within the last 3 months)

Universal Credit Statement

Required

Marital Status *

Single

Married

Required

How many Children Do you have

Please type in the number of children under 18, that are currently living with you

Select available time Slot Please *

Time

Submit

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