East Indian Census - An MGP Initiative
MGP invites you to share details for the first ever East Indian Census. We will do our best to maintain confidentiality of your information. Please mention as NA if you do not have the information in any of the fields. If you get the info later you may send to us at mgpmobai@gmail.com
Name *
Please mention your Name - Middle Name(Fathers/Husbands Name) - Surname
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Place of Birth *
Your answer
Blood Group *
Your answer
Sex *
Citizenship *
Your answer
Present Address *
complete mailing address
Your answer
Gaothan/Place Name
Your answer
Pin Code
Your answer
Caste *
should be fathers caste
Mobile Number *
Your answer
Landline Number
Not compulsory
Your answer
Email Address *
If you dont have one give an email address of your family member
Your answer
Church of Baptism
Please mention Church Name with place
Your answer
Church of Marriage
Please mention Church Name and place
Your answer
Spouse Details
Optional (for married people only)
Name
Mention the name after Marriage
Your answer
Maiden Name
Mention name before Marriage(for married women)
Your answer
Date of Birth
MM
/
DD
/
YYYY
Place of Birth
Your answer
Caste
Place of Origin
Your answer
Family Hierarchy
Parents and Grand Parents details
Fathers Full Name *
Your answer
Fathers Date of Birth
MM
/
DD
/
YYYY
Fathers Place of Birth *
Your answer
Fathers Caste *
Fathers Place of Origin *
Your answer
Fathers Church of Baptism *
Please mention Church Name with place
Your answer
Fathers Church of Marriage *
Please mention Church Name with place
Your answer
Fathers Father Name *
Your answer
Fathers Father Date of Birth
MM
/
DD
/
YYYY
Fathers Father Church of Baptism *
Mention Church Name and Place
Your answer
Fathers Father Caste
Fathers Mother Name *
Your answer
Fathers Mother Date of Birth
MM
/
DD
/
YYYY
Fathers Mother Church of Baptism *
Mention Church Name and Place
Your answer
Fathers Mother Caste
Mothers Maiden Name *
Mention Name before Marriage
Your answer
Mothers Date of Birth
MM
/
DD
/
YYYY
Mothers Place of Birth *
Your answer
Mothers Caste
Mothers Place of Origin
Your answer
Mothers Church of Baptism *
Please mention Church Name and Place
Your answer
Mothers Father Name *
Your answer
Mothers Father Date of Birth
MM
/
DD
/
YYYY
Mothers Father Church of Baptism
Please mention Church Name and Place
Your answer
Mothers Father Caste
Mothers Mother Name *
Your answer
Mothers Mother Date of Birth
MM
/
DD
/
YYYY
Mothers Mother Church of Baptism *
Your answer
Mothers Mother Caste
Relations Spread
Details of siblings and Children
Brother(s) Name(s) *
please mention names only and mark numerics if more than one
Your answer
Sister(s) Name(s) *
please mention names only and mark numerics if more than one
Your answer
Children Name(s) *
please mention names only and mark numerics if more than one
Your answer
Property History
Ancestral property details
Place(s) where property exists/existed *
Your answer
Type of Property *
Required
Home/Residence Details
Ancestral House (since when) *
mention the year from which residence belongs to your family
Your answer
Shared with cousins *
Required
Type of Home/Residence *
Required
Portion/rooms given on rrent *
Required
Educational History
School *
please mention the school and place of the last class attended
Your answer
College *
please mention the college and place of the last year attended
Your answer
Higher Education *
please mention the place also
Your answer
Additional Qualifications *
Your answer
Professional/Business History
Name of Company/Business *
Your answer
Designation *
Your answer
Talent Skills *
Your answer
OBC Certificate
Certificate No.(if obtained)
Your answer
Annual Income
Income Per Annum *
Yearly Income
Required
Census Confirmation
I hereby Confirm that the details above are true to the best of my knowledge *
Required
Census Form filled by *
please mention the name and place of the person who has filled this form
Your answer
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