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Since 2015, he has been a fugitive from the Anti Terrorism Court of Pakistan on the charges of murder, targeted killings, treason, inciting violence and hate speeches. He fled the country in 1992 after crackdown against his party was launched and since then he is living in the United Kingdom. The Scotland Yard maintains that sufficient evidence for the charges is lacking and the content of his speeches do not violate UK laws. On 11 June 2019, he was arrested by Scotland Yard in connection with a hate speech made on a August 22, 2016 under the Section 44 of the Serious Crime Act 2007.

On 11 June 2019 Hussain was arrested by Scotland Yard because of promoting hateful and violence words against Pakistan.

On 21 August 2016, Hussain made controversial speech in Karachi Hunger strike camp which was a symbolic protest against alleged extra judicial killings perpetrated by Pakistani Paramilitary forces and selective targeting of MQM workers and office bearers in Karachi operation. Altaf Hussain accused state sponsored terrorism and harboring terrorist organisations such as TTP and other rogue banned organisations. He chanted 'Pakistan Murdabad' to condemn unlawful detention of MQM activists and extra judicial killings by the state agencies. He also deplored Pakistani media biased attitude in covering those law transgression by Law enforcement agencies

In 2015, The Lahore High Court banned his media coverage, airing of his images and speeches was banned across all electronic and print media. Anti Terrorism Court of Pakistan declared him a fugitive on the charges of treason, inciting violence and hate speeches and sentenced him to 81 years in prison. In 2017, Anti Terrorism Court of Pakistan issued non-bailable arrest warrants for Hussain in the murder case of Dr.Imran Farooq who was a senior member of MQM. Pakistan asked Interpol to issue red warrant against Hussain but Interpol refused it by saying it does not "intervene in political and religious matters of a state".

The Aligarh Colony massacre instigated the bloody riots of November–December 1986. These riots saw the popularity of MQM and its leader Altaf Hussain rise and the party's ideology was greatly influenced as a result.

On 20 June 2013 a Metropolitan Police started money laundering case against Altaf Hussain when it recovered some cash from his residence during search, On 3 June 2014 he attended police station for an interview. On 17 September 2016, Altaf Hussain's bail was cancelled for insufficient evidence.On 13 October 2016, Scotland Yard officially, dismissed the money laundering case eventually on the basis of lack of evidence

Altaf Hussain is a critic of the Taliban. Hussain, in 2008, warned against the Talibanisation of Karachi and stated that a "well planned conspiracy to intensify sectarian violence in the city, was being hatched."

On the issue of Kashmir, Hussain stated that Indo-Pak dialogue should be allowed to "proceed on the basis of mutual adjustment and agreement...[and] It should be clear to all concerned that there can be no military solution to any of the contentious issues, let alone the issue of Kashmir." From 2004 Hussain warned against the growing influence of the Taliban in Karachi. Hussain stated that the "advocates of Jihad, a medieval concept to tame the infidel, are wantonly killing followers of the faith as they level places of worship."

— Keynote Speech at conference in New Delhi on 6 November 2004.

Altaf Hussain married Faiza Gabol in 2001 and divorced in 2007. He has daughter named Afza Altaf born in 2002

On 17 September 2000, Hussain stated that the partition of India was the "biggest blunder in history of mankind", and that by rejecting the "grouping formulae and greater autonomy for Muslim-majority Indian provinces", Jawaharlal Nehru and Abul Kalam Azad forced Muhammad Ali Jinnah to demand a separate Pakistan, even when the founder of Pakistan was ready to accept a united India.

It was reported that the Karachi police and the paramilitary Rangers force had arrested Nasir Hussain and his son from the Federal B area in Karachi on 4 and 6 December 1995 respectively. In a statement issued on 7 December 1995, MQM blamed the government and the law enforcement agencies for the unlawful arrests of Nasir and Arif from their residence in Samanabad. On 9 December 1995, the badly mutilated corpses of both Nasir and Arif were found in an isolated area in Gadap Town in Karachi, from where they were taken to a nearby Edhi centre.

The Pakistani government launched Operation Clean-up in 1992 and sent the military into Karachi to crack down on the MQM. Hussain escaped Karachi one month before the operation began, following an attack on his life on 21 December 1991. Hussain fled to London and applied for political asylum. In the later months of 1995, the political killings of members from both parties sparked an outcry throughout the city. This involved the killing of the younger brother of PPP's Syed Abdullah Shah, the Chief Minister of Sindh which subsequently led to the killing of Altaf Hussain's 62-year-old brother Nasir Hussain and 27-year-old nephew Arif Hussain. From 1993 to 1996, the port city of Karachi had become a political battleground between prime minister Benazir Bhutto's Pakistan Peoples Party and the Mohajir Qaumi Movement. In the wake of the ensuing political unrest, the MQM had remained vocal about the arbitrary arrests and extrajudicial killings of its members.

Altaf Hussain and other leaders of the MQM were having cases against him which the party alleges were false politically motivated cases against MQM in the back drop of 1990s operation against them. But in November 2009 all the cases were dropped under National Reconciliation Ordinance,

Altaf Hussain revealed that while he was admitted in Abbasi Shaheed Hospital in 1988, Late Hameed Gul (ISI chief at the time) sent briefcase full of money through Brigadier(R) Imtiaz and tried to bribe him in joining Pakistan military establishment led IJI coalition which was against PPP but he rejected the offer. Later both Brig (R) Imtiaz and Hameed Gul also confirmed the statement

The 1988 general elections proved quite clearly that the voting patterns in Sindh were based on ethnic lines where the Pakistan Peoples Party and the MQM won almost all seats in the national assembly. The PPP had derived its support from the Sindhi population in the province, whilst the MQM from the Muhajirs. At this point in time, in less than four years of its making, MQM emerged as the third largest political party in Pakistan.

PPP had been successful in Sindh but didn't fare quite well in the other provinces and therefore had to resort to forming a coalition government. Hussain and his party MQM offered their support but insisted on a formal agreement between the PPP and the MQM. This 59-point MQM-PPP accord, known as the Karachi Declaration, was signed on 2 December 1988. It reiterated many of the points defined in the earlier MQM charter. However, when Benazir Bhutto came into power, she was unwilling or unable to commit to her part of the bargain. Her reluctance in this matter was largely interpreted by muhajirs as largely pro-Sindhi and rather anti-Muhajir. When the declaration was not implemented violence erupted between APMSO and the PSF, the student wings of the MQM and the PPP.

In 1987 the government began widespread arrests of Mutahidda Qaumi Movement workers all over Sindh. Altaf Hussain surrendered to law enforcement agencies on 30 August 1987 on the condition that the further arrests of his party's workers would be stopped immediately. During Hussain's imprisonment MQM placed highly in the local bodies election of 1987, and there was pressure to release Hussain and he was released on 7 January 1988.

In early 1987, Altaf Hussain issued MQM's Charter of Resolutions (Qarardad-i-Maqasid) which formed the basis for the party's ideology. The MQM charter was paramount in expressing many of the "long-standing grievances" of Sindhi nationalists, and a cooperative arrangement was worked out between the MQM and various Sindhi nationalist parties in early 1988. Apart from the points stipulated in the party's original resolution, Hussain also introduced the idea of Muhajir being a "fifth subnationality" alongside the Punjabis, Pathans, Baloch, Sindhis.

Before October 1986, the urban city of Hyderabad was largely dominated by the Sindhi nationalist party Jeay Sindh Qaumi Mahaz (JSQM) founded by G. M. Syed giving rise to the nationalist slogan "Sindhu Desh" (or "Sindhi nation"). The only Muhajir political movement countering the JSQM were led by Syed Mubarak Ali Shah of the Moti Mahal family, Nawab Zahid Ali Khan and Nawab Muzaffar Hussain. After the death of these Muhajir stalwarts, the Urdu-speaking people of Hyderabad yearned for a charismatic Muhajir leadership.

On 31 October 1986, Altaf Hussain gave his first public address in Hyderabad at the site of the historic Pacco Qillo, where he was greeted by throngs of crowds. After his address, his message was well received by the Urdu-speaking people of Hyderabad and Hussain was able to fill the void left by the deaths of Muhajir leaders. Hussain and a few of his companions, were arrested by security personnel after his address implicating him in several alleged criminal cases. His arrest enraged his supporters who launched public movements for his release. The charges against Hussain and his companions were later dropped and they were released from the Central Prison Karachi on 24 February 1987.

The urban centres of Karachi and Hyderabad had increasingly become ethnically diverse and riots along ethnic lines were commonplace. In May 1985, a Pathan minivan driver struck and killed a muhajir schoolgirl inciting the first Pathan-Muhajir ethnic riot. Later, following an unsuccessful raid on an Afghan heroine processing and distribution centre in Sohrab Goth by the army, Pathan and Afghan terrorist turned their ire on muhajir residents of Aligarh Colony.

After 1971 Indo-Pak war came to an end, Hussain returned to West Pakistan to join wilfully with the regular army. In the version of events told by the MQM, the selection officer rejected Hussain's selection because his parents were 'muhajirs' from India even when Hussain insisted he was born in Pakistan. This is quoted as one of the many instances that formulated Hussain's future political aspirations. The political strife of the APMSO bifurcated into the issue of stranded Pakistanis in Bangladesh an on 14 August 1979, Hussain participated in a demonstration at the Mazar-e-Quaid for the safe return of stranded Pakistanis, also called the Biharis. Following the demonstration, Hussain was arrested and sentenced on 2 October 1979 for 9 months imprisonment and flogging with five strokes. Hussain was later released on 28 April 1980 after he had served his sentence.

In 1974, Hussain graduated from the Islamia Science College with a Bachelor of Science. In 1979, he graduated from the University of Karachi with a Bachelor of Pharmacy. After graduating from the university, Hussain began his career as a trainee at the Seventh-day Adventist Hospital in Karachi while simultaneously working for a multinational pharmaceutical company.

Hussain's elder brother Nasir Hussain was later employed by the government and given a small quarter on Jehangir Road. The family subsequently left their government allotted residence and moved in with Nasir. The family later moved residence again in the 1970s to a small house in Azizabad which later became the headquarters of Hussain's political party Muttahida Qaumi Movement (MQM; formerly Muhajir Qaumi Movement).

In 1970, General Yahya Khan introduced the National Service Cadet Scheme (NSCS) making it compulsory for higher secondary scholars to enlist with the army. According to the MQM, Altaf Hussain enlisted with the Pakistan Army through the NSCS and his services were assigned to the 57th Baloch Regiment as soldier number 2642671. Upon completion of his training, his regiment was assigned from Hyderabad to Karachi from where it was sent to East Pakistan via ships.

Hussain received his early education from the Government Comprehensive School in Azizabad. He later enrolled in the Government Boys Secondary School to complete his matriculation in 1969. For the first year of his intermediate education in pre-medical sciences, he attended the National College Karachi. He later moved to City College Karachi for his second year.

Altaf Hussain (Urdu: الطاف حسین ‎; pronounced [əltaːf ɦʊseːn] ; born 17 September 1953 in Karachi) is a British Pakistani fugitive and former politician who is known as the founder of Muttahida Qaumi Movement.

Altaf Hussain was born on 17 September 1953 to Nazir Hussain and Khurseed Begum in Karachi, Sindh. Before the independence of Pakistan, Hussain's parents resided at their ancestral home in Nai ki Mandi, Agra, UP, British India. His father was an officer with the Indian Railways. His paternal grandfather Mohammad Ramazan was the Grand Mufti of Agra and his maternal grandfather Pir Haji Hafiz Rahim Bakhsh Qadri was a religious scholar. Hussain's siblings include four sisters and six brothers.

Following the partition of India in 1947, a wide-scale migration of Muslims ensued where they migrated from the various states in the Dominion of India to the newly established Dominion of Pakistan. Hussain's parents were initially reluctant to leave everything behind in Agra to resettle in Pakistan but were later forced by Hussain's elder brother to reconsider. Upon emigrating to Pakistan, the family settled in Karachi. They were provided with government housing in Abyssinia Lines reserved for muhajirs (people and families migrating from the Dominion of India).