For Encyclope dia Indica Shiaii
Brief Account
Shia Rulers, Rajas, Taluqdars etc.
Please attach passport size photograp h
Name…….-------------------------------------------------------------------------------------------------------------------------------------------------------------------Father's Name……………..----------------------------------------------------------------------------------------------------------------------------------Date of Birth…………..-----------------------------------------------------------------------------------------------------------------------------------------Place of Birth…………….--------------------------------------------------------------------------------------------------------------------------------------
Date of Death…………………-----------------------------------------------------------------------------------------------------------------------------Place of Burial………………-------------------------------------------------------------------------------------------------------------------------------Chronogramme (Tareekh) of death………………………………………………..-----------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Position(s) held & period-----------------------------------------------------------------------------------------------------------------------------------------Name of state/estate with its' location -----------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Cities and villages included in the state/estate…………………………………………..-----------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Name and year of construction of Buildings built…………………………………………….--------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Photographs of the buildings and their founders………………………………………..--------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Academic Achievements…………………………..----------------------------------------------------------------------------------------
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A short note on ulema, scholors, poets etc. attached with the state / estate …………………… ………………………..----------------------------------------------------------------------------------------------------------------------------------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Source…….-----------------------------------------------------------------------------------------------------------------------------------------------------------------Name, address, phone nos. etc of person reporting………………………………………-----------------
------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------Signature
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Date
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Place
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Note:- Plz. attach also a post-card size or larger 'full length' photograph Plz. use separate sheet(s), if necessary
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