New Muslim Registration - Welcome to Islam

Section 1 of 4

Personal Information

Please fill out this short form so we can offer the right support for you — whether it's learning to pray, meeting other Muslims, or having someone to talk to.

Full Name * Please enter your full name.

Mobile Number * Please enter your mobile number.

Email Address * Please enter a valid email address.

Town/City * Please enter your town or city.

Gender *

Male Female

Please select your gender.

Age * Please enter your age.

Preferred Language(s) *

English

Other:

Please select at least one language.

Have you taken your Shahadah? *

If you haven't yet taken your Shahadah, that's okay! You can still fill in this form and we'll reach out to guide you gently, with no pressure.

Yes No Not yet, I'm still learning

Please select an option.

Section 2 of 4

Support You Need

Please choose the type of support you need. Tick as many as you like. We're here to assist you practically and spiritually.

Please share anything else you'd like us to know or how we can help you best:

Would you like to receive a Shahadah certificate?

Yes No

Optional: Would you like to be added to our WhatsApp support group for New Muslims?

Yes No

Section 3 of 4

Learning Preferences

Don't worry if you're not sure of the below questions. These answers just help us tailor the right kind of support and assign you the right mentor or class group.

Have you attended any Islamic classes before? *

Yes No A little

Other:

Please select an option.

Which learning method would you prefer? *

In-person (Masjid/Community Centre) Online (Zoom classes) 1-on-1 learning with a mentor/buddy Self-paced videos/booklets Group classes

Other:

Please select at least one learning method.

When are you most available to learn? *

Weekdays (day) Weekdays (evening) Weekends

Other:

Please select at least one availability option.

If you choose in-person classes — do you need help with transport to classes/events?

Yes No Maybe

Other:

Section 4 of 4

Consent & Additional Requests

Do you give permission for Dawat-e-Islami to contact you and securely store your information to support you? *

Yes

Other:

Any comments, questions, or special needs?

You can share anything you feel we should know

New Muslim Support & Registration Form

Personal Information

Support You Need

Learning Preferences

Consent & Additional Requests

JazakAllah Khair!