Pakistan Muslim Welfare Association

We’re With You Every Step of The Way

Planning

Arrangements

Burial

Funeral Services

New Membership Page

Please fill out below form for new membership.

Membership Form

First Name

Middle Name

Last Name

Date of Birth

Address

Address Line 1

Address Line 2

Town/ City

Postcode

Country

Phone/Mobile

Do you want to add Spouse?

Spouse First Name

Spouse Middle Name

Spouse Last Name

Spouse Date of Birth

Do you have any children under 18?

Male / Female

First Name

Middle Name

Last Name

Date of Birth

Do you want to add more children under 18?

Male / Female

First Name

Middle Name

Last Name

Date of Birth

More children under 18?

Male / Female

First Name

Middle Name

Last Name

Date of Birth

Additional Comments / Special Instructions / Next of kin (if different to spouse or if no spouse)

I confirm the above details are correct to the best of my knowledge. I have read, understood and agree to abide by the rules and regulations set out by PMWA. My membership may be invalidated/revoked if the information I have submitted is incorrect.