Apply Online Complete your Islamic Will Use this form to have your Islamic Will prepared & finalised by our Certified Solicitor. The cost for an Islamic Will is $275 plus GST. To avoid delays please ensure all information is filled in correctly. Name* First Last Gender*MaleFemaleDo you have any children under 18 years of age?*YesNoEmail* Enter Email Confirm Email Address* Street Address City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*What is your Date of Birth Date Format: DD slash MM slash YYYY Current OccupationExecutor 1 (Full Name)*A person you nominate to manage your financial affairs. Your nominated Executor needs to be a Muslim. Please provide Legal Names as spelt on official Australian identification (such as passport or drivers license)Gender of Executor 1*MaleFemaleRelationship of Executor 1 to you*(e.g. Husband, Wife, Brother in-law, Friend… etc)Executor 2*In the case of Executor 1 being unavailable, please nominate a second Executor, who must also be a Muslim. Please provide Legal Names as spelt on official Australian identification (such as passport or drivers license)Gender of Executor 2*MaleFemaleRelationship of Executor 2 to you*(e.g. Father, Mother, Brother in-law, Friend… etc)Guardian 1*A person you nominate to be the carer of your children (under 18 Yrs) in the case of both parents passing away. Your nominated Guardian must be a Muslim. Please provide Legal Names as spelt on official Australian identification (such as passport or drivers license)Relationship of Guardian 1 to you*(e.g. Father, Mother, Brother in-law, Friend… etc)Guardian 2*In the case of Guardian 1 being unavailable, please nominate a second Guardian. Please provide Legal Names as spelt on official Australian identification (such as passport or drivers license)Relationship of Guardian 2 to you*(e.g. Father, Mother, Brother in-law, Friend… etc)N.B. The other parent of your children must nominate the same Guardians above.Beneficiaries of your Islamic WillPlease only include names of your living relatives. If your relative has passed away simply type NA. Please provide Legal Names as spelt on official Australian identification (such as passport or drivers license)Father's Name*Father's ReligionMother's Name*Mother's ReligionSpouse's Name*Spouse's ReligionMuslim Sons' NamesNon-Muslim Sons' NamesMuslim Daughters' NamesNon Muslim Daughters' NamesAdditional Information You Wish To ProvideCAPTCHA This iframe contains the logic required to handle Ajax powered Gravity Forms.