Tuesday, 21 May 2013  11 Rajab 1434
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بسم الله الرحمن الرحيم
In the name of Allah, Most Gracious, Most Merciful

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CPD Course Irfan February 2013

The following application form relates to the CPD Course on Irfan: From Theory to Practice to Malpractice organised by The World Federation and the Council of European Jamaats.

This application form will take less than 10 minutes to complete.

If you have any questions in relation to this application form, please contact us at secretariat@coej.org



Your full name as per your passport (*)

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Address Line 1 (*)

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Address Line 2 (*)

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City / Town (*)

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Post / Zip Code (*)

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Country (*)

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Name of your Jamaat / Islamic Centre (*)

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Your email address (*)

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Your mobile / cell number (including country code) (*)

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Your home telephone number (including country and city code) (*)

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Please state your ethnic background, eg Khoja / Iranian / Iraqi (*)

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Questions pertaining to your level of Knowledge in the field of Irfan:

How would you evaluate your knowledge on the subject of Irfan? 1 Poor - 5 Excellent (*)

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What courses or lectures, if any, have you attended or heard on Irfan?

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In order of priority, which 3 questions would you most like to know the answers to regarding Irfan?

1 (*)

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2 (*)

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3 (*)

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What books or articles, If any, have you read on Irfan (*)

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Please specify your contribution towards the cost of your participation on the course (please note: if you are unable to contribute the minimum amount then please contact ica@coej.org) (*)





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This course is heavily subsidised by The World Federation.

Each participant is encouraged to pay at least the subsidised cost. However, if you can afford to pay more than this then you must do so and it will be greatly appreciated.



Please tell us about any dietary requirements / allergies you have (*)

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Please tell us about any disabilities you have (*)

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Emergency Contact Name (*)

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Relationship to you (*)

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Mobile / cell number (including country code) (*)

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Home telephone number (including country and city code) (*)

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Email address (*)

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By submitting this application, you declare and agree, The information I have given on this form is correct. I understand that I must arrive on time 1700 on Friday 22nd February and will remain on site until the close of the course (1900 on Sunday 24th February). (*)

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The information on this form will be retained by The Council of European Jamaats for its use and may be shared amongst member Jamaats and World-Federation regional bodies as and when necessary and requested. We may also use the information to inform you of events/projects that we or our affiliates feel may be of interest to you.



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Thank you for completing this application form. You will be hearing from us shortly inshallah.


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