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Please help me make this Directory complete and up-to-date
by taking a few seconds to fill out the following form. When done, click on the "Submit" button below.

Please read this before you fill the form!

For consistency sake, I have been putting your familyname (gheru naav) as Lastname, and your given name as your firstname, and your fathers name as middle initial. All sourashtrians have family name. Please ask your family elders if you do not know. Please follow these simple rules so it is easy to maintain this directory in a consistent way. If you don't know all the information asked for please find out before you fill up the form. Incomplete forms will be ignored. Thank you for understanding. Fields marked with "*" are mandatory.

Is this a Addition or Modification to the Directory?* Addition Modification

Firstname*, Middle Initial(s)*: , Family Name(Gheru Naav)*:

Current street adress*:

City*: , State*: , AL AR AZ CA CO DE FL GA ID IL IN IA KS KY LA ME MD MA MI MN MS MO MT NE NV NH NJ NM NY NC ND OH OK OR PA RI SC SD TN TX UT VT VA WA WV WI WY AB BC MB NB NL NT NS ON PE QC SK YT Country*: U.S.A Canada

Zip*:

Your email address*:

Your Telephone number*:

Your profession*:

Your family name*:

Your father's name*:

Your native town*:

Are You*

Single

Married

Divorced/Widowed

If vmarried

Wife's first name:

Wife's profession:

Wife's maiden familyname (mai gheru naav):

Wife's father's name:

Wife's native town:

Do You have children? Yes No

If yes

Child's full name: Age: Status(What are they doing?):

Child's full name: Age: Status(e.g. in nth Grade):

Child's full name: Age: Status(toddler, etc.):

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