Register Online Mosque Registration
Membership Application Form : Mosques
Please read the \'Constitution and Standards\' document before competing this form.
All fields with a (*) are compulsory
Section A - Particulars
Person Filling The Form
First Name *
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Surname *
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Position *
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Organisation Address
Organisation Name *
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Address Line 1 *
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Address Line 2
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Address Line 3
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Town *
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County
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Post Code *
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Contact
Telephone Number (Daytime) *
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Telephone Number (Evening) *
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Telephone Number (Mobile)
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Fax Number
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E-Mail Address *
Please Check That The E-Mail Address Is Valid
Website Address
Section B - About Your Mosque
Is Your Mosque A Registered Charity? *

Please Select One
If YES What Is The Registered Charity Number?
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Does Your Mosque Have A Constitution Or Governing Document? *
Please Select One.
Does Your Mosque Subscribe To The \'Aims And Objectives\' Of The MINAB As Set Out In Its Constitution?
Refer To Articles 2 & 3 Of The Constitution. *
Please Select One.
Section C - Services
Does Your Mosque Provide Regular Prayer Facilities And Also Facilities For Jummah Prayer? *
Please Select One
What Other Services, If Any, Does Your Mosque Provide?
Refer To Articles 3 & 4 Of The Constitution






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If Other, Please Specify
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Which Muslim Community Does Your Mosque Predominantly Serve?
Refer To Articles 8 & 11 Of The Constitution *
Please Select One
Section D - Facilities
Does Your Mosque Have Prayer Facilities For Women? *
Please Select One
Does Your Mosque Have Any Special Facilities / Activities For The Youth *
Please Select One
If YES, Please State What These Are
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Section E - Declaration
I confirm the contents of this application to be true. I accept that in the event that any information given in the application is found to be inaccurate or untrue, the MINAB would have the discretion to cancel the membership or vary the terms upon which it was granted.
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MembershipDriveSML

Contact Details

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Ealing
London
W5 3RP
United Kingdom

info@minab.org.uk
Tel +44 (0)20 8993 7141

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