GOD’S GRACE OF SALVATION REVIVAL EVANGELICAL INT’L
MINISTRIES
CHAPEL OF SALVATION AFFIX
PHOTOGRAPH
MEMBERSHIP BIODATA FORM
(PLEASE FILL EVERY ITEM IN CAPITAL LETTERS)
A. BIOGRAPHICAL DATA
SURNAME…………………………………………………………….
OTHER NAMES…………………………………………........................................................
SEX……………………………………………………... DATE OF BIRTH…………………………………………………………………….....................................…….
MARITAL STATUS………………………………. NUMBER OF CHILDREN……………………………………... GRANDCHILDREN…………………………...
NAME OF SPOUSE………………………………………………………. MAIDEN NAME (married females) ……………………………………………………… WEDDING
ANNIVERSARY: DAY……………. MONTH…………. YEAR……………. NEXT OF KIN…………………………………………………………….
NEXT OF KIN ADDRESS…………...………………………………………………………………………………………………………RELATIONSHIP………………….
NEXT OF KIN PHONE/EMAIL……………………………………………………………………………………………………………………………………………………...
ADDRESS
HOME ADDRESS (including bus stop/landmark………………………………………………………………………………………………………………………...
……………………………………………………………………………………………………………………………………………………………………………………………………...
EMAIL ADDRESS……………………………………………………………………………………………………………………………………………………………………….
PHONE NUMBER(S)…………………………………………………………………………………………………………………………………………………………………...
SOCIAL MEDIA HANDLES: TWITTER………………………………………………………... INSTAGRAM…………………………………………………………….
FACEBOOK HANDLES………………………………………………………………………………………………………………………………………………………………………
CAREER
OCCUPATION………………………………………………………………………SKILLS………………………………………………………………………………………….
WORK ADDRESS……………………………………………………………………………………………………………………………………………………………………….
CHRISTIAN LIFE
ARE YOU BORN AGAIN?................................DATE OF SALVATION………………………………. WHERE………………………………………...
DATE OF WATER BAPTISM BY IMMERSION………………………………… WHERE/CHURCH………………………………………………………...
WHAT ARE YOUR SPIRITUAL GIFTS?...........................................................................................................................................................
NAME & ADDRESS OF HOUSE FELLOWSHIP CENTRE……………………………………………………………………………………………………………….
DO YOU BELONG TO ANY SMALL GROUP IN GOSEM…………………………………………………………
YOUR INTERESTS/HOBBIES………………………………………………………………………………………………………………………………………………………
NAME & ADDRESS OF LAST CHURCH ATTENDED BEFORE JOINING GOSEM………………………………………………………………………………….
HOW LONG HAVE YOU BEEN GOSEM………………………………………………………………………………………... WOULD YOU LIKE TO BE A
MEMBER?................... PLEASE STATE REASON(S)…………………………………………………………………………………….
SIGNATURE…………………………………………. DATE……………………………………………………………...
