JSGA Membership Directory Form

JSGA Member Directory

Membership update form
Please complete the form below to update membership details for the new Member Directory.

- Please submit ONLY one form per family.

- Please contact ec@jsgatemple.org for any question or suggestion.

Important:

We'll never publish following info in Membership Directory, and will be kept for records in secure place:

1. Your Membership Number
2. Gender, Date of Birth and Age
3. Marital Status
4. Children's Email and Mobile

Primary Members Information
Enter JSGA Member ID of Primary Member*
Please enter your JSGA member ID
Name of Primary Member*

First NameMiddle NameLast Name
Birth Month of Primary Member
Birth Year of Primary Member
E-mail address Primary Member*
example@example.com
Gender*

MaleFemale
Phone Number of Primary Member*
(country-code)+(Area-code)+(phone Number)
Secondary Phone Number of Primary Member
(country-code)+(Area-code)+(phone Number)
Do you wish to provide occupation information?

YesNo
Your occupation
Home Address*
Address Line 1
Address Line 2
City*
State*
zip*
Do you want to include Address in Member Directory?

YesNo
Hometown in India or anywhere outside USA
Note: City outside USA where you want to be primarily linked/attached with
Are you Married ?*

YesNo (single, divorced, widowed)
How many children/s do you have?*

None1234
Spouse Information >

Enter Spouse information
Spouse Name*

First NameLast Name
Include Spouse name in Directory ?*

YesNo
Spouse Email Address
example@example.com
Spouse Mobile Number
(country-code)+(Area-code)+(phone Number)
Do you wish to provide spouse's occupation information?

YesNo
Spouse Occupation*
Children/s Information >

child must be under 21 and unmarried
Check this box if you wish to include children's information in Member Directory
Child-1 Name*

First NameLast Name
Birth Month
Birth Year
child must be under 21
E-mail address
example@example.com
Mobile number
(country-code)+(Area-code)+(phone Number)
Child-2 Name*

First NameLast Name
Birth Month
Birth Year
child must be under 21
E-mail address
example@example.com
Mobile number
(country-code)+(Area-code)+(phone Number)
Child-3 Name*

First NameLast Name
Birth Month
Birth Year
child must be under 21
E-mail address
example@example.com
Mobile number
(country-code)+(Area-code)+(phone Number)
Child-4 Name*

First NameLast Name
Birth Month
Birth Year
child must be under 21
E-mail address
example@example.com
Mobile number
(country-code)+(Area-code)+(phone Number)
Does your parents stay with you and dependent on you?

YesNo
Would you like to add parents information to membership directory ?

YesNo
Parents Information >

Enter parents information
Fathers Full Name

First NameLast Name
Mothers Full Name

First NameLast Name
Father-in-law

First NameLast Name
Mother-in-law

First NameLast Name
Once you submit your details, we will contact you if we have any questions.

Thank you!
Should be Empty:

JSGA Member Directory

Spouse Information >

Children/s Information >

Parents Information >