Dear Member,

Thank you for taking the time to participate in our 2018 Membership Audit. We would like to update our church records, but more importantly, we value the opportunity to get to know you a little bit better.

Note: This form is to be completed per member. Fields marked with an asterisk (*) are compulsory.

PROFILE (About You)

Name and Surname*

Known as*

Gender*

Male

Female

Birth Date*(eg. 30/01/2008)

mm/dd/yyyy

Birth Place*

Birth Country*

Mother's Name*

Father's Name*

Physical Address*(please capture full address including suburb and town)

CONTACTS

Telephone(e.g. 021-9512345)

Mobile(e.g. +263 773 148 015)

Business phone(e.g. 021-9512345)

Email

ADDITIONAL INFORMATION

Education Level

Occupation

Marriage Date

mm/dd/yyyy

MEMBER INFORMATION

Previous Religion

BAPTISM CEREMONY

Baptised?*

Yes

No

Baptism Date

mm/dd/yyyy

Baptism Place/Location

Baptism by (Officiating Pastor)

Are you a baptised member of Sakubva SDA Church?

Yes

No

PROFILE IMAGE

Sakubva Church will also be implementing a Membership Directory that will include a profile picture for each member. Kindly assist us in sending a clear profile picture to the Communication Team at sakubvasdacom@gmail.com

FAMILY INFORMATION

If Married, provide Spouse Name

First

Last

Do you have any of your [minor] children living with you?*

Yes

No

Not Applicable

Child 1

First

Last

Date of BirthPlease use the format indicated to prevent system errors

dd/mm/yyyy

Child 2

First

Last

Last Date of BirthPlease use the format indicated to prevent errors

dd/mm/yyyy

Child 3Please use the format indicated to prevent errors

First

Last

Date of BirthPlease use the format indicated to prevent errors

dd/mm/yyyy

CHURCH NEWS/e-BULLETIN

Would you like to receive news/e-Bulletin from the church?

Already subscribed

Yes

No

How would you like to receive news from the church?

Email

Email & WhatsApp

Feel free to share additional information or comments below.

THANK YOU and God bless

Sakubva SDA Church