Name

Date of Birth

WhatsApp Number (include country code)

Email

City of Residence

What is your educational and/or professional background?

Are you currently working on any projects? Please explain.

Please list the Islamic projects & organizations you have worked with in the past.

What unique strengths or skills can you bring to help support the Muslim community?

What skills or areas would you like to improve in?

What is your intention in attending this summit?

What have been the key challenges you’ve encountered throughout your leadership journey?

How do you intend to collaborate with others at the Summit?

Where do you see yourself in 10 years?

What changes would you like to see in the Ummah?

Have you held any leadership roles? If yes, please explain

Are you willing to commit to follow-up projects or initiatives after the summit?

Would you like to apply for a financial concession? If so, please kindly share how receiving this support would assist you in being able to attend.

Do you have any dietary restrictions or need special accommodations? 

Do you require accommodation at the Summit hotel? 

How many days do you wish to attend?

Do you have a discount code? Please enter it below.

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