Web Site First Name * Last Name * Email Address * Gender * Date of Birth * Date of Shahada (Declaration of Islam) * Nationality Passport No * Mobile Number * Whatsapp Number Previous Religion * Islamic Name (Optional) Please write the name you have chosen as Muslim. Leave this field empty if you would like to keep your 1st name Visa Status * Residence Visit/Tourist Marital Status * Single Married Divorced Emirate of Residence * Dubai Abu Dhabi Sharjah Fujairah Ajman Ras Al Khaima Umm Al Quwain Address in UAE What would be your preferred timing to attend New Muslim Classes? * Preferred Language of communication Reason for accepting Islam Upload Passport Size Photo (White Background) * Ladies please upload head covered (hijab) photo Uplaod Passport Copy * Upload Visa copy * Upload Emirates ID front side. * Upload Emirates ID back side *
