Applicant Details
Enter all applicant details who is registering.
Upload Profile Photo
Choose File
Please enter a valid First
Name.
Please enter a valid
Surname.
Leave
(blank) if not required.
Please enter a valid Ireland
mobile number.
SMS-Enabled.
Leave
(blank) if not required.
This email will also be used for member portal login.
Please enter a valid email address.
Full Address
If the person needs to be taken abroad.
Will this person be buried abroad?
Address Line 1
Street Address,
P.O. box, company name, c/o
Address Line 2
Apartment,
suite, unit, building, floor, etc.
City
State / Province
/ Region
ZIP / Postal
Code
Country
Upload Applicant
Passport Photo
Choose File
Date Of Birth
Please select a valid Day.
Please select a valid
Month.
Please select a valid Year.
Please select a valid gender.
Please enter a valid Passport Number.
Leave
(blank) if not required.
Please enter a valid Resident Permit
Number.
Leave
(blank) if not required.
Please select a valid Country.
Please select a valid Country of Origin.
Please select a valid Profession.
Full Address
No Address Added!
Edit Address
Please select a nearby center.
Representative Details
Required: This candidate will also get all E-mails and SMS sent to the Applicant!
Full Name is required!
Mobile number is required!
Passport number is required!
Leave
(blank) if not required.
Valid email address is required.
Please make sure
this email is correct! Type carefully.
Please select relationship.
Upload Passport
Copy
Choose File
Full Address
No
Address Added!
Representative Address
Next of Kin (Living Abroad)
#Person 1 (Living Abroad)
Details of a first person
living abroad!
Full Name is required.
Mobile Number is required.
Leave
(blank) if not required.
Please select relationship.
Valid email address is
required.
Full Address
Address Line 1
Street Address,
P.O. box, company name, c/o
Address Line 2
Apartment,
suite, unit, building, floor, etc.
City
State / Province
/ Region
ZIP / Postal
Code
Country
#Person 2 (Living Abroad)
Details of a second person
living abroad!
Full Name is required.
Leave (blank) if not required.
Mobile Number is required.
Leave (blank) if not required.
Leave
(blank) if not required.
Please select relationship.
Don't (select) if not required.
Valid email address is
required.
Leave (blank) if not required.
Full Address
Address Line 1
Street Address,
P.O. box, company name, c/o
Address Line 2
Apartment,
suite, unit, building, floor, etc.
City
State / Province
/ Region
ZIP / Postal
Code
Country
Next of Kin Ireland (Current Country)
Next of Kin
#Person 1
Auto Copy Representative
Full Name is required.
Mobile Number is required.
Leave (blank) if not required.
Please select relationship.
Valid email address is
required.
Leave
(blank) if not required.
Full Address
No Address
Added!
Edit Address
Next of Kin #Person 2
Full Name is required.
Leave
(blank) if not required.
Mobile Number is required.
Leave
(blank) if not required.
Leave
(blank) if not required.
Please select relationship.
Leave
(as is) if not required.
Valid email address is
required.
Leave
(blank) if not required.
Full Address
No Address Added!
Edit Address
How much you will donate annually into this funeral services fund?
DECLARATION
DATA PROTECTION STATEMENT
Funeral Services Fund department is required to collect and hold data about all its members for
various reasons. We have requested only the necessary data, on the membership form, as required by
Data Protection Regulations.
Your data will be held securely and in accordance with the Data Protection Act 1998 (DPA), the EU Data Protection Directive 95/46/EC, General Data Protection 2018 and all applicable laws and regulations relating to Processing of Personal Data and privacy, including where applicable the guidance and codes of practice issued by the Information Commissioner’s Office.
Your rights
Consent
Your data will be held securely and in accordance with the Data Protection Act 1998 (DPA), the EU Data Protection Directive 95/46/EC, General Data Protection 2018 and all applicable laws and regulations relating to Processing of Personal Data and privacy, including where applicable the guidance and codes of practice issued by the Information Commissioner’s Office.
Your rights
All our members can:
- Ask to see this data to check its accuracy at any time via a subject access request (SAR).
- Ask for a copy of their personal data held about them at any time, and this request is free of charge
- Request that data that is no longer required to be held, can be removed from their file, and destroyed. In this instance individual member must provide details as to why they believe that the data being held is incorrect or being held unlawfully.
Consent
Under the new Data Protection Regulations, we are required to have specific consent from the members before we process your data any further. You have every right to withdraw your consent and this will not affect your membership application.
Funeral Services Fund (FSF) can share my contact details with Dawat e islami for the purpose of
sharing religious information, advertising works of Dawat e Islami and fundraising campaigns.
Dawat E Islami Ireland, 8/9 Talbot Street, Dublin, DO1HC56
Please recheck all details, You will not be able to edit this form after it is submitted!!
Submit Application Form