STGIOC Membership Form

1

Head of the family* This field is required.

Prefix

First Name

Middle Name

Last Name

2

Birth Date* This field is required.

3

Mobile Number* This field is required.

4

E-mail * This field is required.

example@example.com

5

Marital Status* This field is required.

Single

Married

Divorsed

6

Please enter your wedding date* This field is required.Please enter your wedding date

Date

7

Spouse Name

Prefix

First Name

Middle Name

Last Name

8

Spouse Birth Date

9

Spouse Mobile Number

10

Address in the UK* This field is required.

House No and Street

City

Postal / Zip Code

Country

11

Address in India* This field is required.

House name and Street Address

City

Country

13

First Child Name

Prefix

First Name

Middle Name

Last Name

14

First Child Birth Date

15

Second Child Name

Prefix

First Name

Middle Name

Last Name

16

Second Child Birth Date

17

Third Child Name

Prefix

First Name

Middle Name

Last Name

18

Third Child Birth Date

19

Fourth Child Name

Prefix

First Name

Middle Name

Last Name

20

Fourth Child Birth Date

21

Fifth Child Name

Prefix

First Name

Middle Name

Last Name

22

Fifth Child Birth Date

23

Would you like to add anyone else?.

No

One

Two

24

D1.

First Name

Last Name

25

Date of Birth D1

Date

26

D1 relation

Father

Mother

Sister

Brother

27

D2.

First Name

Last Name

28

Date of Birth D2

Date

29

D2 relation

Father

Mother

Sister

Brother

30

Home Parish

31

Are you a member of any other church in the UK.* This field is required.

Yes (Please provide a transfer certificate from that church)

No

32

Upload your transfer certificate

Drag and drop files here

Select files to upload

Max. file size: 10.6MB

33

Any personal information that you supply to us remains your personal property. However, by submitting that information to the church, you grant us the right to use your personal information for other church spiritual organisations and activities. We will be publishing your photos and videos (including children's)through our social media group. You must let us know if you are not happy to publish those information on social media platforms.

34

Terms and Conditions* This field is required.

35

To sign enter your name

36

Membership number

37

Approved by

Name of the Priest.