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Request for Dua after Friday Prayers
This form is to request dua for someone in the community due to illness and/or death
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* Indicates required question
Requester's Name
*
Your answer
Requester's Email
*
Your answer
Requestor's Phone Number
*
Your answer
Are you a member of ICB?
Yes
No
I don't know
Clear selection
Who do you want dua for?
*
Myself
Immediate Family (Father, Mother, Daughter, Son)
Relative (Siblings, in-laws etc)
Community Member
Other:
Name of person for whom you are requesting dua
Your answer
Is the person you are requesting dua for a member of ICB?
*
Yes
No
I Don't Know
What type of dua would you like?
*
Dua for deceased
Dua for Sickness
Other
Additional Details
Your answer
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