AZAM Registration Form
When we focus on our problems, we will have more problems, but when we focus on possibilities, we'll have more opportunities!
Azam, an initiative by the Ladies Forum at the Pakistani Association Dubai, is one such possibility, aimed to cater People Of Determination and special needs individuals. We aim to form a support group to provide guidance, support & to connect families with similar needs so that we can share hopes, strengths, and work together on weaknesses.


*PLEASE NOTE - All data provided in this form will be kept confidential and provided to responsible individuals on an as-needed basis 
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Email *
Date of filling this form
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Personal Details 
Kindly provide your personal details and complete the questionnaire as accurately as possible, as this will ensure that we will be able to connect you with the best possible counsellor suited to your need.
Full Name of Child *
Gender *
Age *
Nationality
Diagnosis *
Contact Number *
WhatsApp Number *
Preferred Language *
How did you hear about Azam group? *
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