Janazah (Funeral Services) Request Form

Kobe Muslim Mosque offers Janazah (Funeral Ceremony) and handles the procedure with the utmost care and respect. The ghusul (washing the body of the deceased), cuffan (burial cloth shrouding) and Janazah Prayer is performed by our experienced team.

Please contact us by using the below contact form and our team will get back to you.

Janazah (Funeral) Services Application Form

Applicant’s Name *

Phone Number *

Email address *

Address *

Relationship to Deceased *

Particulars of the Deceased Person

Name of Deceased *

Occupation

ID Card Number *

Address
(Home Country)

Address (Japan) *

Time of Death *

Date of Death *

Cause of Death *

Time of Burial

Date of Burial

Time of Janazah Prayer

Do you require dead body pick up service? *

Yes

No

If Yes, please fill the following information

Pick-up Time *

Pick-up Date *

Pick-up Address *

Return Time

Return Date

Return Address

Upload Documents

Proof of Identity* (Passport/ Driving License/ Residence Card/ My Number Card etc.) Accepted formats: JPG, PNG, PDF

Passport (Mandatory for Foreign Residents) Accepted formats: JPG, PNG, PDF

Declaration*

I, the above named applicant, hereby give Kobe Muslim Mosque Funeral (Janazah) Service my full consent and authority to arrange the funeral service of the deceased person as named above. I also give and appoint Kobe Muslim Mosque to negotiate with any relevant and appropriate departments as deemed necessary for the release and collection of the deceased body.

Submit Form