Member Registration

Registration Form

  • Please fill in this form for each family member including children. If a child is not able to complete it, please ensure an adult fills it in for them on their behalf.
  • Please also ensure that all data entered is accurate and up to date.
Thank you for your cooperation!
First Name
Middle Name(s)
Surname
Gender
Date of Birth
Email Address
Phone Number
First Line of Address
Second Line of Address
Town/City
Postcode
Have you been baptised?
Date of Baptism
Church and Place of Baptism
Date of joining Malayalam Gospel Church
Relationship Status
Date of Marriage
Church and Place of Marriage
Spouse First Name
Spouse Middle Name(s)
Spouse Surname
Spouse Gender
Spouse Date of Birth
Spouse Email Address
Spouse Phone Number
Is your spouse living at the same address as yourself?
Has your spouse been baptised?
Spouse Date of Baptism
Spouse Church and Place of Baptism
Did you and your spouse join Malayalam Gospel Church on the same day?
Spouse Date of joining Malayalam Gospel Church
Number of Children
Child 1 First Name
Child 1 Middle Name(s)
Child 1 Surname
Child 1 Gender
Child 1 Date of Birth
Is this child living at the same address as yourself?
Has this child been dedicated?
Child 1 Date of Dedication
Child 1 Church and Place of Dedication
Has this child been baptised?
Child 1 Date of Baptism
Child 1 Church and Place of Baptism
Did you and this child join Malayalam Gospel Church on the same day?
Child 1 Date of joining Malayalam Gospel Church
Child 2 First Name
Child 2 Middle Name(s)
Child 2 Surname
Child 2 Gender
Child 2 Date of Birth
Is this child living at the same address as yourself?
Has this child been dedicated?
Child 2 Date of Dedication
Child 2 Church and Place of Dedication
Has this child been baptised?
Child 2 Date of Baptism
Child 2 Church and Place of Baptism
Did you and this child join Malayalam Gospel Church on the same day?
Child 2 Date of joining Malayalam Gospel Church
Child 3 First Name
Child 3 Middle Name(s)
Child 3 Surname
Child 3 Gender
Child 3 Date of Birth
Is this child living at the same address as yourself?
Has this child been dedicated?
Child 3 Date of Dedication
Child 3 Church and Place of Dedication
Has this child been baptised?
Child 3 Date of Baptism
Child 3 Church and Place of Baptism
Did you and this child join Malayalam Gospel Church on the same day?
Child 3 Date of joining Malayalam Gospel Church
Child 4 First Name
Child 4 Middle Name(s)
Child 4 Surname
Child 4 Gender
Child 4 Date of Birth
Is this child living at the same address as yourself?
Has this child been dedicated?
Child 4 Date of Dedication
Child 4 Church and Place of Dedication
Has this child been baptised?
Child 4 Date of Baptism
Child 4 Church and Place of Baptism
Did you and this child join Malayalam Gospel Church on the same day?
Child 4 Date of joining Malayalam Gospel Church
I agree that all data provided is accurate and up to date.
I consent to my data being collected and stored in accordance with Data Protection Law and the UK GDPR.
I consent to my data being provided to NHS Test and Trace or any relevant authorities when asked for.
Please enter the email address where you would like the record of the completed form to to be sent.