Maintenance Fault and Condition Reporting Form

1

Are You Reporting a Fault Or Condition* This field is required.Here at AMIC we love to hear from the congregation positive and negative feedback

Reporting a Fault

Reporting a Condition

3

You Selected Other - Please Tell Us Where

4

You Selected Ground FloorPlease select Mens Main Prayer Hall if you do not see any suitable option

Toilets

Main Prayer Hall

Side Prayer Hall

Elevator

Kitchen

Ground Floor Alley

6

You Selected 2nd FloorPlease select Main Alley if you do not see any suitable option

Toilets

Kitchen

Main Alley

Classroom

7

You Selected Class Room - Please Report Room NumberClass room numbers are generally found on the door of the respective room

9

You Selected Other Then Please Tell Us WhatClick Next if Unkown

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Give Us a Brief Description Of The Fault / ConditionYour First Hand Report Is Very Important To Us

11

Please Send Us a PhotographPicture speaks a thousand words

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Tell Us Your Name* This field is required.Who is earning the Hasa'ana for reporting this

Prefix

First Name

Last Name

13

What Is Your Email Address* This field is required.We want to share updates on improvements after your report

example@example.com

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Phone NumberConnect with the AMIC Community

Area Code

Phone Number

15

Do you want to join the AMIC Cleanliness Avengers!!!We will add you to a whatsapp group to get you more involved major cleaning events of the mosque

Yes, I want to be more involved

No, I will contribute other way

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Jazak' Allahu Khairan Katheera for playing your part - You Are A Hero!!!We Aim To Resolve All Issues Within Two Weeks