Islamic Funeral And Burial Declarations Page 3

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In the absence or unavailability of the designated communities or Muslims, every effort must be
made to locate Muslims who will perform this service. In the absence of above communities, the
arrangements in this document remain binding and are still to be followed.
12. Each party mentioned in 11-A through 11-C is to receive a copy of this declaration and shall
have the authority to implement these conditions for my Islamic funeral and burial upon being
notified of my death.
13. These provisions are binding upon my heirs and survivors and whomever accepts the
responsibility of my burial. No relatives, individual or government branch is to intentionally
ignore any of these provisions.
Signature of relative / friend: __________________________________ Date: _____________
Affirmation
I, _______________________________________, of legal age, do hereby attest that I make this
(first, middle, last name)
affidavit of my own free will on behalf of myself.
Signature: _______________________________ Date: ____________________________
____________________________________________
Notary Public
For the blank form write to: MCSVA, PO Box 13019, Richmond, VA 23225
Or visit:
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