** Please note, that this form is not the legal government registry form. More Info: Births/Deaths/Marriage Registries. **

Community Death Registration/Announcement Form.

Masjid Al-Rida is providing the following service to help announce recent deaths to our community. All submissions made below will be announced at our Local Masjid and made available online (by Feb 2010) to help announce recent deaths and associated gatherings/prayers organised for the deceased. 

We also hope that by providing this service we will increase the salawat and group recitation of surat Al-Fatiha on the marhomeens.

"Oh Allah (SWT) Continue Showering Your Bounties on the Souls of Marhomeen for Whom Contribution is made and Place them in the Neighborhoods of Ahlulbatit (AS), A'meen Ya Rabal A'lemeen"

Death Registration

Contact Name (*)

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Full Name (Deceased) (*)

Please type your full name.
Contact Phone

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Contact Email (*)

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Gender (*)
MaleFemale
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Picture of Deceased?

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Type of Death (*)
Not SureHeart AttackLong Term IllnessAccidentMurderWar/Victim
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Age of Death
<11-45-910-1314-1516-1819-2122-2526-3132-3637-3940-4445-4950-5556-6061-6566-6970-7576-8081-8788-90>91
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Date of Death (*)

Invalid Input Click on the button to open/close calender. Otherwise type the date of death as: dd/mm/yyyy
Place of Death (*)
AustraliaAmericaEnglandNew ZealandMiddle EastAsiaIndiaPakistanOther
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Message

Invalid Input Please enter any special event/s to be held for the marhoom/e or simply add a special request of any kind. >
Masjid Al-Rida Services? (*)
NoYes
Invalid Input Please indicate If you would like to use Masjid Al-Rida for prayers/majlis on behalf of the Deceased.



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