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.