Registration for Educational Ziyarat Trip (EZT 2011)

3rd Educational Ziyarat Trip in Iraq and Syria (Sun 18 Dec 2011 to Sun 01 Jan 2012)

Note:
- You must complete the application process by 1st Dec 2011.
- Cost is £1,485 for participants in UK and $1,300 for participants joining in Iraq.

User Details

Firstname: * (as it appears on your passport)

Lastname: * (as it appears on your passport)

Date of Birth: *

Gender: * Male Female

Contact Details

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Zip/Postcode: *

Country: *

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Home Phone 2:

Mobile 1: *

Mobile 2:

Email 1: *

Email 2:

Passport Information

Country of Birth: *

Place of Birth: *

Passport Number: *

Nationality: *

Valid From: *

Expiry Date: *

Place of Issue: *

Marketing Information

Why do you want to go on this trip?

How did you find out about us?

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Useful Links

About the Organisation

Madrasa

Woking

Regional Council

Trips

Gallery

SVC 2001, 2002, 2003, 2004, 2005
SVC 2006, 2007, 2008, 2009, 2010
Eid Party 2002, Eid Party 2003