Your Full Name (required)

Address

Telephone No

Home:

Work:

E-mail address

Marital status:

SingleMarriedDivorce/ SeparatedWidow/ Widower

Profession/Occupation

Place of work

Name of the previous church that you were attending (if any)

Your Testimony of Salvation

When were you be baptized(by immersion)?

Previous Church involvement

Do you know your Spiritual gifts of the Holy Spirit?

YesNo

If yes, what are those?

How do you want to be involved in the Church?

Children ministryPrayer MinistryYouth ministryEvangelismBible studiesMusic/ChoirOffice helpUsheringFollow up/Visitation

Any other

Information about yourself and your family

Date of Birth

Spouse’s Date of birth

Date of Wedding Anniversary

Name of your Children and Date of Birth

Your expectation from the Church (W.OT):