Member registration

THE SIMLAK MUSLIM WELFARE SOCIETY

Simlak Muslim Welfare Society is a Charitable Incorporated Organisation (CIO) registered with the Charity Commission of England and Wales under charity registration number 1204655. Its registered office is: Old Bank Business Centre, 43-45 Church Street, Darlaston, Wednesbury, WS10 8DU.

General information

Title *
First Name *
Surname *
Phone number *
Email address *
Street Name and Number *
City / Town *
Postal Code *
Date of birth
Emergency contact name
Emergency contact phone number
Are you directly or a descendant of an individual who traces its ancestry to the remote village of Simlak, Gujarat *
Please choose your preferred method of Communication *

Gift Aid declaration

Boost your donation by 25p of Gift Aid for every £1 you donate. Gift Aid is reclaimed by the charity from the tax you pay for the current tax year. Your address is needed to identify you as a current UK taxpayer.

I am a UK Tax Payer and I would like the SIMLAK MUSLIM WELFARE SOCIETY to reclaim the tax on all qualifying donations I have made, as well as any future donations, until I notify them otherwise. I understand that if I pay less income/capital gains tax than the amount of Gift Aid claimed on all my donations in the tax year in which they are received, it is my responsibility to pay any difference and that I must notify the charity of any changes to my tax status, including changes to my name or address.

Declaration and E Signature

The SIMLAK MUSLIM WELFARE SOCIETY is committed to privacy and will use personal data for the purpose it was collected, or other legitimate purposes we tell you about, such as administering donations or services we provide. For full details, please see our Privacy Notice.

I confirm the information provided on this form is legitimate and give The Simlak Muslim WELFARE SOCIETY permission to use my personal information in accordance with their privacy policy. Please enter your print name *

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