INQUIRY FORM FOR ISLAMIC FINANCE SERVICES OFFERING
Name: *
Company: *
Position: *
Address *
City: *
Region/State *
Country: *
Office Phone: *
Home Phone: *
Mobile Phone: *
I want to Establish a New: * Please selectIslamic BankIslamic Microfinance BankTakaful Company
I want to Open an: * Please selectIslamic Bank WindowIslamic Microfinance WindowTakaful Window
I want to Convert my Existing Conventional * please selectBankMicro finance InstitutionTakaful
to a full fledged: * Please selectIslamic BankIslamic Microfinance BankTakaful Company
Specify Location which Services are to be offered: *
Estimated Number of Branches to Opened in the next 12 months? *
Do you have In-House Islamic Finance Products Development Expertise? * PleaseYesNo
If Yes, How Many Persons do you have on your Staff List? *
Are they available for the project and what would be their role? *
Is there a Budget Allocated for this Project? *
In what Time Frame are you Looking to Start the Services? *
Do you Already have any Islamic Finance Services Offering? * Please selectYesNo
Any other Specific Question/Questions: Please Explain in Detail: *
Please Tell us why you Want to Offer Islamic Finance Services: *
How did you Hear About us: * Please selectWord of mouthWorkshopMagazine articleAdvertisementE-mail