GAA Dataquest from

Directory / Feedback from

To help us maintain an accurate record of our members we ask that you please fill the form below for every family member living in your household. If some members in your extended family are unable to access or use this page please spare a few moments and assist them to provide their details too.

Please remember your input here will help us apply for grants, which will benefit all our community.

The information submitted will be added to our database and may also be used to compile any future directory published for the Mochi community within the UK.

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Database/ Feedback Form PLEASE COMPLETE ALL PARTS OF THE FORM FOR EACH MEMBER OF THE FAMILY

Title:

Date of Birth:

(dd/mm/yyyy)

First Name:

Spouse Name:

(if any)

Surname:

Father's Name:

Address:

Emigrated from:

Origin:

(Town or Village in India)

Post Code:

Notes:

Telephone:

Telephone 2:

	How many people in your household are Pensioners or Retired ?
	How many members in your household are registered disabled ?
	How many members in your household have special needs ?
	How often will you or your family members visit our new hall ?

Which of the following activities will you be interested in taking part in ?
	English Classes	Gujarati Classes	Cookery Classes	Library
	Nursery	Musical	Dance	Drama
	General sports	Table Tennis	Pool/Snooker	Badminton
	Computing	Golf	Bar Lounge	Social
	Other (Please specify)

	Can you help us with any activities on a volunteer basis?
	If you can, please tell us what area you can help with !


	If you have any comments or suggestions, please enter below:

Email:

If you are filling this form on behalf of someone who does not have an email address, please input your own, Please do not check the box below if this is the case.

Publish Email:

Please tick if the email address entered above can be included in the Directory.

Privacy Policy
When you enter any details to GAA London via our web site you may have to provide information identifying yourself ("Personal Information") to complete your inquiry or Pledge. You can be assured that the information you provide us with is not shared with any third parties at any time.

We are committed to protecting your privacy. We will only use the information that we collect about you lawfully (in accordance with the Data Protection Act 1998).