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Advisors Contact Form | Nour DV

 

 

Please use this service to gain access to Islamic advice/counselling for your specific situation and give as much information as possible so that we can help you quickly and effectively. For general enquires about Nour, or Islam and domestic violence, please refer to our contact page and we will aim to provide you with a response. Any general questions sent here will be disregarded.
Please bear in mind, we are unable to offer emergency help at this time. If your situation is urgent or becomes urgent at any time, we advise you to contact the 24-hour National Domestic Violence Helpline.

* denotes a required field

Title*
Forename*
Surname*
Date of birth*
Gender*
Religion*
Ethnicity/Race*
Nationality*
Location (city)*
Marital Status
How long have you been married for?
Do you have any children?

Please explain your current situation or your question, being as detailed as possible in what you are going through and what kind of help you are looking for, in order for us to be able to best help you as quickly as possible.*

How would you describe your current situation?*
 I am in need or urgent help and advice immediately. I am coping but am not sure how long I can deal with my current situation.
 
Please provide especially if seeking legal advice
 

Telephone
Email Address*
Confirm Email Address*

 I do not mind if a male/female advisor contacts me via telephone

I agree to my details/questions being shared with the team at Nour so that they may process my form to ensure I receive a response from the relevant advisors.
All information will remain confidential and no information will be passed to third parties. Tick here please to show you have read and understood this clause.*