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Please Note: This is not an interactive form do not
fill up. This is just to give you a good idea of what you are going to
receive from us from your registered email. Once registered you will
receive an email from us. Fill it up and send it back to us. Please
click here to register.
APPLICATION FOR MEMBERSHIP
Name___________________________________________ Nickname __________
Birthday __________________ Age_____
(First)
(Middle) (Last)
Address
___________________________________________
Birthplace
______________________ Tel. No. _______________
(No. Street) (City) (State)
(Zip Code)
Cel.No._______________ Email
Address________________________ Sex________________ Civil Status
_______________
Height___________ Weight_______
Name of Husband/Wife__________________________ No. of Children:
____________
Names of Children and
Ages____________________________________________________________________________________
___________________________________________________________________________________________________________
Name of
Co./Employer_____________________________ Position
______________________ Tel. No.( ) __________________
Address_______________________________________________________________
Date Joined ________________________
(No.) (Street)
(City) (State) (Zip Code)
High
School_________________________________________ Year_________ to
___________ Course____________________
College_____________________________________________ Year_________ to
___________ Course____________________
Master/Ph.D_________________________________________
Year_________ to ___________ Course____________________
Any Other Special Education or Training
Taken (Seminar, Vocational, etc.)
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Religion:
oBaptist
oPentecostal
oRoman
Catholic
oMethodist
o
Other:__________________ Do you attend church?______
Are you involved in Church activities?
If yes, please specify:
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
State Affiliation with any civic,
fraternal or other organization:
NAME
ADDRESS
POSITION
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
Talents:____________________________________________________________________________________________________
I am interested in:
o
Preaching
o
Mission
o
Prison Ministry
o
Religious Tracts Distribution
o
Counseling
o
Pastoral Work
o
Hospital Ministry
o
Others______________________________________
References (Other than relatives whom we
can call regarding this application):
NAME
ADDRESS
TELEPHONE NO.
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
___________________________________________________________________________________________________________
I hereby declare that all statements
made here are true to the best of my knowledge.
Applicant’s Signature:
Recommended By:
_________________________________
_____________________________________
District
Supt./Auxiliary Bishop or District Credential Committee
Do not fill beyond this point; for
General Council use only.
Approved
By:________________________________________________________
Rev.Dr. Gaudencio
Soriano, Sr., General Superintendent, Titular Bishop
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