House Renovation Registration Mauze Mohalla*MohallaAdamAl Mohallat ul BurhaniyahAl Mohallat ul FakhriyahAl Mohallat ul MohammadiyahBuhani (Shabbirabad A)EssaHasaniHussainiIbrahimJamaliJameaMohammadiQutbiSaifeeSalehTaheriYousufi (Shabbirabad B)ITS Number of Shabab Member Filling the Form* Name of Shabab Member Filling the Form* First HOF ImageAccepted file types: jpg, png, jpeg, Max. file size: 50 MB.HOF Name* First ITS Number* Number of Family Members* 1 2 3 4 5 6 7 8 9 10 Family Member Picture - 2Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Family Member Picture - 3Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Family Member Picture - 4Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Family Member Picture - 5Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Family Member Picture - 6Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Family Member Picture - 7Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Family Member Picture - 8Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Family Member Picture - 9Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Family Member Picture - 10Accepted file types: jpg, png, jpeg, Max. file size: 50 MB.Children DetailsNumber of Children* 0 1 2 3 4 5 Name of School - Child 1 Class - Child 1 Name of School - Child 2 Class - Child 2 Name of School - Child 3 Class - Child 3 Name of School - Child 4 Class - Child 4 Name of School - Child 5 Class - Child 5 Adults DetailsNumber of Adults* 1 2 3 4 5 Married - Adult 1 Yes No Divorced Married - Adult 2 Yes No Divorced Married - Adult 3 Yes No Divorced Married - Adult 4 Yes No Divorced Married - Adult 5 Yes No Divorced Moharramat* Yes No Muharramat Type* Vyaaj Gambling Smoking Alcohol Tobacco Drugs Hukko Any Critical Medical Issue* Yes No Any Critical Medical Issue (If yes, please explain)HousingType of Property* Ownership Pagri Rental Neighbourhood* Mumineen Mohalla Muslimeen Area - Acceptable Muslimeen Area - Unacceptable Type of House* Studio (1RK) 1 BHK 2 BHK 3 BHK Size of House in Sq. Ft. (L x B)* Less than 100 Sq. Ft. 101 to 150 Sq. Ft. 151 to 200 Sq. Ft. 201 to 300 Sq. Ft. 301 to 500 Sq. Ft. Above 500 Sq. Ft. Condition of the House* 1 (Poor) 2 3 4 5 6 7 8 9 10 (Very Good) Floor* Ground 1st 2nd 3rd 4th 5th 6th 7th 8th 9th 10th GeneralAqa Maula (TUS) Photo?* Yes No Maghrib / Mashriq Taweez?* Yes No Is baitul-khala qibla rukh?* Yes No Condition of the HouseIs Kitchen Clean* 1 (Poor) 2 3 4 5 6 7 8 9 10 (Very Good) Kitchen Photo Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 50 MB. Number of Washrooms*Washroom Photo Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 50 MB. Number of Rooms*Room Photo Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 50 MB. Windows / Doors Photo Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 50 MB. Roof Photo Drop files here or Select files Accepted file types: jpg, png, jpeg, Max. file size: 50 MB. Paint Work Required?* Yes No Issues with Neighbours / Water Leakage?* Yes No Vehicles & Electrical AppliancesScooter / Motorcycle?* Yes No Car* Yes No Refrigerator* Yes No Television* Yes No Washing Machine* Yes No Air Conditioner* Yes No Desktop / Computer / Laptop* Yes No Laptop* Yes No Gas Stove* Yes No Monthly Income & ExpensesBusiness / Job?* Business Job Name of Organization Monthly Income of the family from Business / Service?* Less than 10,000/- Between 10,000/- and 15,000/- Between 15,000/- and 20,000/- Between 20,000/- and 30,000/- Above 30,000/- Monthly Income sent by children / other sources of income* Less than 10,000/- Between 10,000/- and 15,000/- Between 15,000/- and 20,000/- Between 20,000/- and 30,000/- Above 30,000/- Monthly expenses of the family* Less than 10,000/- Between 10,000/- and 15,000/- Between 15,000/- and 20,000/- Between 20,000/- and 30,000/- Above 30,000/- Takes FMB Thali* Yes No Amount / Hub Housing NeedsBasic Internal Items Required?* Bichaat / Carpet Curtains Fan Geyser Not Required Need for House Repairs or Cleaning* Civil Works Water Proofing Plastering Paint Roof Works House Cleaning Not Required Need for Bathroom Repairs Or Cleaning* Tiling Plumbing Bathroom Lights Sanitary Items Bathroom Door Bathroom Cleaning Not Required
