IAR Access Card Request Form
1. The Access Card is the property of the IAR and can be invalidated any time at the sole discretion of the IAR Safety & Security Chairman.
2. The Access Card must be used for your IAR duties only.
3. The Access Card is non-transferable. It is to be used solely by the authorized card holder.
4. Any loss, theft or misplacement of the Access Card should be reported IMMEDIATELY to the Chairman of the IAR Safety & Security Committee at 919-357-3811, followed by an email to security@islam1.org
5. Please return the Access Card to the Safety & Security Office when your IAR duty/role ends.
Applicant Name (First Name and Last Name) *
Your answer
Email Address *
Your answer
Phone Number *
Your answer
IAR Committee Name *
Requested By: (Name of Committee Chair or Shura Chair) *
Your answer
Date *
MM
/
DD
/
YYYY
Submit
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