FUNERAL REQUEST FORM

The following details are required in advance for funeral request.

Title

Forenames

Surname

Date Of Birth

Place Of Birth

Home Address

Town / City

Post Code

Cause Of Death

Date Of Death

Age at Death

Deceased Current Location

Requested Burial Cemetery

Date Of Collection

Date Of Burial

Time Of Janazah Prayer

Time Of Burial

Title

Forenames

Surname

Home Address

Town / City

Post Code

Relationship To Deceased

Telephone

Mobile

Upload Proof of Payment (PDF, JPG, or PNG) Max File Size (2 MB)

May Allah make this process easy for you. Please click here to make the funeral service payment.

Special Instructions

I agree to arrange full payment in advance and will upload the receipt as proof of payment to proceed with the funeral service.

I have read and understood the Ilford Islamic Centre Funeral Procedures and agree to follow the process as outlined.

I consent to the collection and use of my personal data in accordance with the Ilford Islamic Centre Privacy Policy.

Funeral Request Form