Masjid Community Survey
Help us serve our community better
Basic Information
Name of Family Head
Please enter the family head's name.
Total Members of Family
Total members will be calculated automatically.
Contact Number
Please enter a valid 10-11 digit phone number.
Caste
Hometown
Occupation
e.g., Business, Service, Student, etc.
Residence Information
Ownership Status
Select Ownership
Owned
Rented
Jhuggi
Please select ownership status.
Complete Address
Please enter your complete address.
Family Members Details
Add all family members including family head
Member Name
Please enter member name.
Age
Please enter valid age (0-120).
Gender
Select Gender
Male
Female
Other
Please select gender.
Marital Status
Select
Married
Unmarried
Please select marital status.
Add Family Member
Submit Survey
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