Two Day Workshop On Tawheed

by SALEM-AL-AMRY.

Date:14th & 15th Apri, 2005

Name: ____________________________________________________

Gender : ________________ Date of Birth: ________________ Nationality: ________________

Male ________________ Female ________________

Marital Status : Married _____________ Single ______________ No Of Children ________________

Address:___________________________________________________________________________

__________________________________________________________________________________

____________________________________ E-mail :____________________________

Telephone (with STD code) ________________ Mobile : ________________

Profession\Occupation : ________________

Office Address:_____________________________________________________________________

__________________________________________________________________________________

__________________________________________________________________________________

ACADEMIC AND RELATED INFORMATION

Name of the School\College\Institute\Office :

Educational Qualification : ________________________________________________

Hobbies / Other Interest :________________________________________________

Have you been involved in any Islamic Dawah Activities ? Yes _________ No __________

If Yes, Please give details : ____________________________________________________________

________________________________________________________________________________

________________________________________________________________________________

Are you in anyway attached to any Islamic or Social Organisation? If Yes: ________________

a) Name of the Organisation: ________________________________________________

b)Since How many years? ________________________________________________

c)Specify your role: Member _______ Associate ________ Volunteer ________ Others ________

If Others Please specify :_____________________________________________________________

d)Regular Involment\Commitment :________________________________________________

Please Specify about your Aspiration after completing this workshop : ________________________

________________________________________________________________________________

________________________________________________________________________________

Date: Signature of the applicant.

For Office use only

Interviewed by : ________________________________ Date : ________________________

Remars :________________________________________________________________________

________________________________________________________________________________

Selected ________________________ Not Selected ________________________________

Peace Organizing Committee Office. ________________________________________________

ZAK TOWERS, No. 49 (Old No. 27), Veerabadran Street,
Off Joshier Street Nungambakkam, Chennai-600034.
Tel : 044 - 2825 7722 \ 33 \ 44; Mobile : 98402 51835.

Kindly fill this sheet and attach it to the application form

NAME:

1. Reading Arabic No ________ Poor ________ Average ________ Good ________

2. Understanding English No ________ Poor ________ Average ________ Good ________

3. Spoken English No ________ Poor ________ Average ________ Good ________

4. Do you read the translation of the Qur”an? If yes Please mention the translation and name of the translator………………………………………………………………

5. Describe your “Salah” practice : Nil ________ Only on Eid ________

Only on Eid and Friday. Irregularly ________ Regularly ________

6. Do you read books of Hadith? No ________ Yes ________
.
If yes, mention two best books that you read…………….…………………………..

……………………………………………………………………………………………..

7. Do you read any other Islamic books? No ________ Yes ________

If yes, mention two best books that you read with the author’s name………………...

………………………………………………………………………………………………

8. Do you listen to Islamic Lecturers(audio or video)? No ________ Yes ________

If yes, mention two best Lecturers……………………………………………………….

9. Which school of thought do you follow ……………………………………………….

I hereby declare that the above mentioned details are true and I agree to abide by the decision of the organizing committee.

Date: Signature:

Note: Admission is subject to the decision of the PEACE organizing committee and the selected Applicant should strictly adhere to the rules and regulation of the training programme.

Peace Vision Programmes