The Zoroastrian Society of British Columbia (ZSBC) - DIRECTORY & CENSUS FORM
Please complete this form to the best of your ability with information you are comfortable sharing with ZSBC. The society needs this information to prepare a new telephone directory in the near future and to understand our own community demographics. Your personal information will be stored safely and utilized appropriately by ZSBC.

The directory will only list the names & professions of all the people that reside in your household, the home address and the principal member's email address and phone number. The other information collected will remain in ZSBC's database. We recognize that many married women retain their maiden name and therefore we are asking that their preference be indicated.

Kindly fill this ZSBC Directory & Census Form and submit it and feel free to share this link with other Zoroastrians you may know that have recently moved to B.C. If you make a mistake with your initial submission, feel free to resubmit a new form with the accurate details and your second submission will be used. This form should take you approximately 5 minutes to complete.

Thank you for taking a moment to fill this out. If you have any questions or are having issues with submitting this form, please contact Kayras Irani at president@zsbc.org & ikayras@gmail.com or 604-763-7820.

Regards,

ZSBC Board of Directors
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Principal Member - Title *
Principal Member - Last Name *
Principal Member - First & Middle Name *
Principal Member - Age
Principal Member - Profession
Principal Member - Residential address *
Principal Member - Mailing address (if different from residential address)
Principal Member - Home Telephone (with area code) *
Principal Member - Mobile (with area code)
Principal Member - Email address
Spouse/Common-law/Partner's - Title
Spouse/Common-law/Partner's - First & Middle Name
Spouse/Common-law/Partner's - Last Name
Spouse/Common-law/Partner's - Age
Spouse/Common-law/Partner's - Profession
Spouse/Common-law/Partner's - Mobile (with area code)
Spouse/Common-law/Partner's - Email
Other members living in the household (i.e dependent/adult children, grandparents & relatives)
This does NOT include the principal member and spouse listed above.
Household Member 1 - Full Name
Household Member 1 - Relationship to principal member
Household Member 1 - Age
Household Member 1 - School/Profession
Household Member 1 - Mobile Number
Household Member 1 - Email
Household Member 2 - Full Name
Household Member 2 - Relationship to principal member
Household Member 2 - Age
Household Member 2 - School/Profession
Household Member 2 - Mobile Number
Household Member 2 - Email
Household Member 3 - Full Name
Household Member 3 - Relationship to principal member
Household Member 3 - Age
Household Member 3 - School/Profession
Household Member 3 - Mobile Number
Household Member 3 - Email
Household Member 4 - Full Name
Household Member 4 - Relationship to principal member
Household Member 4 - Age
Household Member 4 - School/Profession
Household Member 4 - Mobile Number
Household Member 4 - Email
Others - (If you have more members living in your household, please list all details mentioned above)
i.e - Household Member 5 -  Rustom S. Irani, Son, 28, electrician, 778 123 4567, rustomirani@outlook.com 
Please let us know if there is any voluntary service you or any member of your household can offer to your fellow Zoroastrian members or others.
Were you born in British Columbia (B.C.) (Principal Member ONLY)?
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If NOT, when did you move to B.C. (Principal Member ONLY)?
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DD
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What city, province/state, country did you move to B.C. from (Principal Member ONLY)?
Would you like to advertise your business or professional services in the next ZSBC telephone directory or our quarterly ZSBC e-newsletter? *
If 'YES' or 'MAYBE', please let us know the following - (your full name, business name and/or service, phone number and email).
Any additional comments/suggestions or things you would like to mention?
Submit
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