I.    NEW MEMBERSHIP FORM

SERIAL NO………………………………………….DATE………………………………………………. 

1.     NAME: ……………………………………………………………………………………...............

            MALE                                                  FEMALE

             MARRED                                           SINGLE

            SEPARATED                                      WIDOW

            DIVORCED                                         OTHERS

IF MARRIED GIVE THE FULL NAMES OF YOUR SPOUSE

………………………………………………………………………………………………

2.     DATE OF BIRTH…………………………………………………………………………………...

3.     NATIONALITY……………………………………………………………………………………

4.     PROVINCE…………………………………………………………………………………………

5.     DISTRICT…………………………………………………………………………………………

6.     DIVISION…………………………………………………………………………………………...

7.     LOCATION…………………………………………………………………………………………

8.     SUB LOCATION…………………………………………………………………………………

9.     ID NO………………………………………………………………………………………………..

10.  PASSPORT NO……………………………………………………………………………………..

11.  WHERE DO YOU STAY…………………………………………………………………………

12.  POSTAL ADDRESS: …..…………..………………………………………………………………

TEL. ………………………………………………………………………………………………

EMAIL ADDRESS…………………………………………………………………………………

13.  ARE YOU BORN AGAIN:  YES                  NO                   IF YES, WHICH CHURCH?

             …………………………………………………………………………………………………………..

14.  ARE YOU BAPTIZED:  YES                 NO                 IF YES, WHERE WERE YOU BAPTIZED?

…………………………………………………………………………………………………….

15.  ARE YOU FILLED WITH THE HOLY SPIRITY?                  DO YOU SPEAK IN TONGUES?

.............................................................................................................................................................

16.  WHAT IS YOUR OCUPATION? ………………………………………………………………….

17.  DO YOU GIVE TITHES AND OFFERINGS? YES                   NO.

18.  OTHER POSTAL ADDRESS: …..…………..……………………………………………………

TEL. ………………………………………………………………………………………………

EMAIL ADDRESS…………………………………………………………………………………

WEBSITE…………………………………………………………………………………………

19.  HAVE YOU EVER BEEN A MEMBER OF ANY CHURCH? YES                     NO

IF YES GIVE US THE NAMES……………………………………………………………………

………………………………………………………………………………………………………

CAN YOU PLASE GIVE US THE NAME OF THE PASTOR AND HIS CONTACTS

………………………………………………………………………………………………………

………………………………………………………………………………………………………

20.  WHAT WAS YOUR OCUPATION IN THAT CHURCH…………………………………………

21.  WHAT IS YOUR CALL IN MINISTRY…………………………………………………………...

A.    PASTORAL/PREACHING……………..

B.    DEACON/DEACONESS………………..

C.    INTERCESSOR…………………………..

D.    SINGING………………………………………

E.     COUNSELLING…………………………….

F.     USHERING……………………………………

G.    SOUND (TECHNICIAN)…………………

H.    SUNDAY SCHOOL TEACHER………….

I.       HOSPITALITY……………………………….

J.      PULPIT&DECORATION…………………….

K.    OTHERS (Specify)……………………………

…………………………………………

22.   NEXT OF KIN/ FRIEND (Must be well known by Our Church)………………………….............

………………………………………………………………………………………………………

HIS/HER ADDRESS………………………………………………………………………………

HIS/HER TEL: ...................................................................................................................................

             YOUR SIGN…………………………………PASTOR’S SIGN………………………………

DATE……………………………………………………………………………………….

N/B: 

IF YOU HAVE ANYTHING EXTRA INFORMATION THAT YOU WANT US TO KNOW PLEASE FEEL FREE TO WRITE IT ON THE FOLLOWING LINES.

………………………………………………………………………………………………………………………………………………………………………………………………

…………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………… ………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………………