Member Registration
Member Id
*
First Name
*
Middle Name
Last Name
*
Gender
*
Male
Female
Date of birth
*
Marital Status
*
Unmarried
Married
Ministry
Select Ministry
State Lodge
St.Joseph
St. Monica
St. Augustine
Group
Select Group
State Lodge Joakim
Parish Coucil Executive
Poor
Legion of Mary
Vincent De Paul
St. Ann
St. Joakim
Occupation
Education
Contact Information
Address
*
City
*
Mobile Number
*
Phone
Email
*
Fax
Skyp Id
Religion Information
Join Church Date
*
Baptist Date
*
Volunteer
User Name
*
Password
*
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