Membership Registration

Member Registration

First Name

Last Name

Nationality

Date of Birth

Identity Number

Gender

Marital Status

Number of Children

Spouse Name (If married)

Current Physical Address

Home Village/Ward

Contact

Cell Number/Contact Number

Employer

Place of Work

Position Held

Profession

Campus

Next of Kin

Relationship

Cell Number

MINISTRY DETAILS

Date of ReBirth (Year only if not Sure)

Campus

Fellows

Abilities / Skills

Ministry Interest

Hillview church pledges to hold this information confidential and to use it for the intended purpose.

By signing this form, I pledge my commitment to the vision of Hill View Church.