Architect Verification Form

Name:
ITS:
Mohallah: Neighborhood: size in
Type of house: (As per
sq.ft:
manzoori) (As per manzoori)
Priorities:
New Address: _____________________________________________________

Mumineen Mohallah : YES NO

Approximate distance from
(in mins)
Masjid
Bedroom Living Room Kitchen Toilet Bathroom
Count
Size (sqft.)

Good Fair Poor

Cultural Influence

BUILDING GOOD FAIR POOR

Stucture
Seepage / Plumbing
Electrical Safety
Paint work
Stairs
Roof
 APARTMENT GOOD FAIR POOR
Seepage / Plumbing
Electrical Safety
Paint work
Washroom
Kitchen
Size Reasonable for family
Western Toilet Count Reason / will be removed by

Recommendation for
YES NO
house to be bought

Architect: ________________________________ Sign ________ Date _______

 Mumin Verification Form

Name:
ITS:
Mohallah: Neighborhood: size in
Type of house: (As per
sq.ft:
manzoori) (As per manzoori)
Priority: Shaadi Laiq House Required
(As per manzoori)
New Address: __________________________________________________

Mumineen Mohallah : YES NO

Approximate distance from Masjid (in mins)

Good Fair Poor

Cultural Influence

BUILDING GOOD FAIR POOR

Structure
Seepage / Plumbing
Electrical Safety
Paint work
Stairs
Roof

APARTMENT GOOD FAIR POOR

Seepage / Plumbing
Electrical Safety
Paint work
Washroom
Kitchen
Size Reasonable for family
 Bedroom Living Room Kitchen Toilet Bathroom
Count
Size (sqft.)

Total size of house in Sqft.

Western Toilet count Reason / Will be removed before shifting

I Asma bai Mohammadhussain bhai Shajapurwala holding ITS no. 20370751

have seen this house and to araz in Hazrat Imamiyah to rent / buy this house at a
total cost of Rs.______________ (including all costs of registration and renovation
etc.).

،‫يف احلضرة االمامية النورانية دعاء مبارك فرماوا خاطر أدبًا عرض ؛‬

‫ اْمين‬. ‫خدا تعاىل الداعي االجل سيدنا عايل قدر مفضل سيف الدين اْقا ط ع ني عمر شريف نى تا رو ِز قيامة دراز كرجو‬

Mumin: _________________________________ Sign ________ Date _____

 Coordinator Verification Form

Name:
ITS:
Mohallah: Neighborhood: size in
Type of house: (As per
sq.ft:
(As per manzoori)
manzoori)
Priority: (As per manzoori)

New Address: __________________________________________________

Mumineen Mohallah : YES NO

Approximate distance from Masjid (in mins)

Good Fair Poor

Cultural Influence

BUILDING GOOD FAIR POOR

Structure
Seepage / Plumbing
Electrical Safety
Paint work
Stairs
Roof

APARTMENT GOOD FAIR POOR

Seepage / Plumbing
Electrical Safety
Paint work
Washroom
Kitchen
Size Reasonable for family
 Bedroom Living Room Kitchen Toilet Bathroom
Count
Size

Total size of house in Sqft.

Western Toilet count Reason / Will be removed before shifting

RAZA (RS.) ESTIMATE (RS.)

Own Contribution
Others Contribution -
Other Contribution 2 -
Qarzan Hasanah -
Mohallah Contribution
Zonal Coordinator -
Foster Mohallah Contribution
Amount to be arranged -
Enayat
TOTAL

AMOUNT (RS.)
House value
Transfer fees
Renovation
Others:
TOTAL

Coordinator: _____________________________ Sign ________ Date _____