
According to Syed Hamed Hussain Jaffery of the telangana Shia youth Conference, "Special prayer meetings are held throughout the Muharram month, especially in the first ten days, with a host of dignitaries cutting across religious and political affiliations to make an offering to the Alam."
Thousands of barefoot and barechested mourners from around 50 "anjumans" join in the procession, which spans about 6 kilometres on the tenth day of the Muharram month, also known as "Ashura," when the alam is borne on a caparisoned elephant.
However, the HEH The Nizam Trust, the Fatima Seva Dal, and local Shia groups have been transporting elephant from other States to carry the Bibi ka Alam after the courts denied authorization for the usage of captive elephant for religious procession. The standard was carried by a pachyderm named madhuri from Kolhapur, Maharashtra, in the years that followed, and an elephant named sudha was imported from Bijapur, Karnataka, in 2019.