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
- 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 >