NATIONAL WAQF ACADEMY
( A Unit of Zakat Foundation of India )
14 Jangpura B, Mathura Road, New Delhi 110014
zakatindia.org
info@zakatindia.org
, +91-11-24375196
REGISTRATION FORM OF PARTICIPANTS
* Required
A. Details of Program
1. Name of Course
*
Your answer
2. Duration
*
Your answer
3. Dates of Program
*
Your answer
B. Basic Information
1. Full Name
*
Your answer
2. Father’s Name
*
Your answer
3. Date of Birth
*
MM
/
DD
/
YYYY
4. Gender
*
Male
Female
C. Details of Qualifications
1. Educational Qualification
*
Your answer
2. Current Vocation
*
Your answer
3. Professional Experience
*
Your answer
4. Achievements
*
Your answer
D. Contact Details
1. Address
*
Your answer
2. District
*
Your answer
3. State
*
Your answer
4. PIN Code
*
Your answer
5. Email-id
*
Your answer
6. Phone/Mobile No.
*
Your answer
E. Contact Details at Emergency
1. Mailing Address
*
Your answer
2. Email-id
*
Your answer
3. Phone/Mobile No.
*
Your answer
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