JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
LICC MASJID SPONSOR SCHEME
This form is to record/make donation towards the noble cause of fundraising for the construction of Lucan Islamic Centre and Mosque
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Donor Name
*
Please write full name. It is preferable to include your parent name stating son of (S/O) or Daughter Of (D/O) after your name. Example; Muhammad Ali S/O Abdul Kareem or Fatima Noor D/O Ahmed Iqbal
Your answer
Donating to Sponsor units of
*
Building Bricks - 40 Euro per brick
Foundation Blocks - 500 Euro per block
Sajadah Places - 250 Euro per place
SDM Masjid General Fund
Required
Number of Units
Your answer
Donation Amount - €
*
Your answer
Do you require a receipt?
*
No
Yes
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Mr Abdul Mughees.
Does this form look suspicious?
Report
Forms
Help and feedback
Help Forms improve
Report