—Please choose an option—Spouse's BrotherBrotherDaughterNephewNieceNear RelativeSonDeceased SpouseSpouse's SisterSister
DATE OF BIRTH dd/mm/yyyy
YES : I/We do not know any current Anavil Samaj Members
Please Note: Information provided on this form will be available to every family in the Anavil Samaj of Canada.
Please complete this form and press send information button below.
If you are single, please complete box 1 under family members.