Apply for mosque renovation support

Fill in this form in Bangla or English. Fields marked * are required. You can upload PDF, JPG or PNG files of up to 10 MB each.

1 Applicant information

Name of the applicant

Contact number

Full address of the applicant

Affiliation with the mosque

2 Mosque information

Name of the mosque

Village

Union

Upazila / Thana

District

Division

3 Mosque committee members

Please give the details of three committee members.

Committee member 1

Name

Position

Cell number

Voter ID card number

Length of service (years)

Copy of the voter ID card Allowed: PDF, JPG, PNG. Up to 10 MB per file.

Committee member 2

Name

Position

Cell number

Voter ID card number

Length of service (years)

Copy of the voter ID card Allowed: PDF, JPG, PNG. Up to 10 MB per file.

Committee member 3

Name

Position

Cell number

Voter ID card number

Length of service (years)

Copy of the voter ID card Allowed: PDF, JPG, PNG. Up to 10 MB per file.

4 History / background

Establishment date or year

Number of attendees in daily prayers

Is it a Jame masjid (Jumma prayers held)? Yes No

If yes, number of attendees in Jumma prayers

Is there an existing maktab? Yes No

If yes, how many students

How many teachers

5 Current issue and budget

Current issue of the mosque

Amount needed to address the issue (BDT)

Estimated time to address the issue

Bank account details of the mosque

6 Documents and pictures

Supporting documents (land papers etc.), up to 8 files Allowed: PDF, JPG, PNG. Up to 10 MB per file.

Current pictures of the issue / problem, up to 6 photos Allowed: JPG, PNG. Up to 10 MB per file.

Security question: what is 4 + 6? *

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