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The following membership details (for adults only) are required for identifying observation reports and for sending monthly moon sighting alert messages. The details will be kept strictly confidential on our secure server and may not be forwarded to any third parties. The red asterix (*) shows mandatory input. Additional details are shown under the tooltip (?) for individual input. Personal InformationAre you a Muslim?: Yes No ?Title: Please select Mr Ms Eng Dr Prof Imam Qari Hafiz Hafizah Shaykh Shaykha Maulana Mufti Other ?First Name: Surname: Known As: ?Gender: Male Female Date of Birth: ?yyyy-mm-dd (click on title for past year/month options)Language: Arabic Bengali English Urdu Other ?Address/Street: Area: ?Town: County/State: UK Region: Please select North East North West Yorkshire and Humber East Midlands East of England West Midlands Greater London South East South West Wales Scotland ?Country: Please select Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo Congo, The Democratic Republic of The Cook Islands Costa Rica Cote D'ivoire Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-bissau Guyana Haiti Heard Island and Mcdonald Islands Holy See (Vatican City State) Honduras Hong Kong Hungary Iceland India Indonesia Iran, Islamic Republic of Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea, Democratic People's Republic of Korea, Republic of Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libyan Arab Jamahiriya Liechtenstein Lithuania Luxembourg Macao Macedonia, The Former Yugoslav Republic of Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia, Federated States of Moldova, Republic of Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory, Occupied Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and The South Sandwich Islands Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Venezuela Viet Nam Virgin Islands, British Virgin Islands, U.S. Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Postcode/Zip: Masjid/Maslak InformationMasjid Name: ?Masjid Postcode: ?Masjid Criteria: Wifaqul Ulama ICOUK Saudi Arabia Other (Specify) ?if other: ?Maslak: Hanafi Maliki Shafi Hambali Other (Specify) ?if other: Hilal Committee Member? No Yes ?Hilal Committee Name: ?Qualification/ProfessionSecular: Please select GCSE A-Level AS-Level Diploma Degree Masters PhD Other Islamic: Please select Maktab Hafiz Hafizah Qari Alim Alimah Mufti Muftiyah Muhaddith Muhadditha Muffasir Muffasirah Other Occupation: Employer: Contacts/AlertsTelephone Day: Telephone Eve: Mobile/Cell: ?example: +447831534701Email: ?Work Email/Skype: ?Alert Type: Email Sms WhatsApp ?Are you a representative? No Yes ?Representative:If you are completing the above details on behalf of someone else, please ensure you have obtained their prior consent and provide your own contact details below.Name: Email: Mobile: MiscellaneousReferrer: Family/Friends Mosque Newspaper Radio/Tv Other ?*Comments: ?Please state why you wish to join this ICOUK / Moon Sighting UK website (and any 'Other' additional information).Photo Upload: ?File-size of photo must be between 10 KB and 5 MB (JPG)Username: ?Username/Password required to update your profile and to send observation reportsPassword: ?Confirm: Anonymous No Yes ?Are there any special circumstances where your name should be hidden from the website membership list?Anonymous MembershipPlease tick [✔] the option(s) below that applies to you.I do not wish others to know about my interest in moon sighting because I am a: Masjid Imam Masjid Trustee Committee Member Media Reporter Student of knowledge Other (Specify) If other: ?Supporting Doc: ?Upload scan of supporting documentation for anonymous membership (Image: JPG or PNG)Declaration Privacy Policy:Please tick this box to confirm you have read our Privacy PolicyI believe the information provided above is accurate to the best of my knowledge and belief.Enter the code Powered By ChronoForms - ChronoEngine.com
The following membership details (for adults only) are required for identifying observation reports and for sending monthly moon sighting alert messages. The details will be kept strictly confidential on our secure server and may not be forwarded to any third parties. The red asterix (*) shows mandatory input. Additional details are shown under the tooltip (?) for individual input.
I believe the information provided above is accurate to the best of my knowledge and belief.