Associate Form

In the name of Allah, the Merciful, the Beneficent!

Associate Form Jamaat-e-islami Hind

Place:          _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _

Zone:           _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _

Name:          _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _

S/o/D/oW/o: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _

Age:             _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _

Full Address: _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _  _

I am willing to co-operate with Jamaat-e-Islami Hind in its efforts to solve the problems of the society, to promote virtues, eradicate vices and in its social service programmes.

Date:_ _ _ _ _ _ _ _ _ _     Signature:_ _ _ _ _ _ _ _ _ _

I certify that the above entries are true to the best of my knowledge.

Date:_ _ _ _ _ _ _ _ _ _     Signature:_ _ _ _ _ _ _ _ _ _

Member/Muttafiq

Miss/Mr./Mrs._ _ _ _ _ _ _ _ _ _ is hereby accepted as Associate of Jamaat-e-Islami Hind.

Date:_ _ _ _ _ _ _ _ _ _     Signature:_ _ _ _ _ _ _ _ _ _

Ameer-e-Jamaat/Zonal Ameer/
Dt. Organiser/Local Ameer/
Organiser/Circle of Muttafiqeen