PLFMI

PROMISED LAND FAITH MINISTRIES INTL

Member Registration

Join Our Church Family

Complete the form below to register as a member

View Printable Registration Form

Prefer to fill the form offline? Print or save the PDF version

Personal Information

Title

First Name *

Middle Name

Last Name *

Date of Birth *

Gender *

Marital Status *

Occupation

Profession

Home Town

AKA (Also Known As)

Highest Qualification

Day Born

Contact Information

Phone Number *

Email Address

WhatsApp Phone (if different)

Employer

Address *

City *

Region/State *

Country *

Postal Code

Membership Information

Membership Type *

Membership Date *

Previous Church Affiliation

Emergency Contact

Contact Name *

Contact Phone *

Relationship *

Spiritual Information

Are you baptized? YES/NO. IF YES,

Are you confirmed? YES/NO. IF YES,

If you are married, then

Health & Education Information

Medical Conditions / Allergies

PHYSICALLY CHALLENGED? YES/NO. IF YES,

ARE YOU CURRENTLY SCHOOLING? YES/NO. IF YES,

Guardian Information (For Minors)

Guardian Name

Guardian Relationship

Guardian Phone

Guardian Address

Photo (Optional)

Maximum file size: 2MB. Accepted formats: JPG, PNG

Your registration will be reviewed and approved by church administrators

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