Do you fulfil the conditions of membership?

Title

First Name

Middle Name

Last Name

Home Address

Home City/Suburb

Home Postcode

Mobile Number

Occupation

Work Address & Phone Number

Date of Birth

Place of Birth

Date of Salvation

Have you been baptised in water?

Have you been baptised in Holy Spirit?

Date of Water Baptism

Date of Holy Spirit Baptism

Marital Status

Do you have children?

Names & Birth Dates of Children

Church/es previously attended

Any extra information?

Tip: eg. any ministry experience, areas of passion, giftings etc that you would like Church leadership to be aware of