Printable member form
Prints on one sheet of letter (8.5 x 11 in) bond paper for members without a phone. Use "Save as PDF" to keep a copy.
IRM Ministries
Member Registration Form
Please print clearly in CAPITAL letters with a black or blue pen. Fields marked * are required.
District *
Church *
Attach
2 x 2 photo
(clear face)
2 x 2 photo
(clear face)
1. Personal Information
Last name *
First name *
Middle name
Gender *MaleFemaleBirthdate *//MM / DD / YYYY
Civil status *SingleMarriedSeparatedWidowed(Live-in / couple: tick Single)
Year joined / baptised
Name of spouse
Occupation
Name of father
Name of mother
2. Ministry
Spiritual birthday (year)
Life group leader?YesNo
Leader name
Ministry involvement
3. Education
Highest educational attainment
No Formal EducationPreschoolElementary Undergraduate (Grades 1-5)Elementary Graduate (Grade 6)Junior High School Undergraduate (Grades 7-9)Junior High School Graduate (Grade 10)Senior High School Undergraduate (Grade 11)Senior High School Graduate (Grade 12)Vocational/Technical/Trade School UndergraduateVocational/Technical/Trade School GraduateCollege UndergraduateCollege Graduate (Bachelor's Degree)Master's Degree UndergraduateMaster's Degree GraduateDoctorate Degree UndergraduateDoctorate Degree Graduate (PhD, EdD, etc.)Postdoctoral Studies
School / university
Degree / course
4. Contact
Mobile number
Email address
Home address *
Facebook
Instagram
TikTok
X
5. Privacy declaration and signature
I declare that all information in this form is accurate and complete to the best of my knowledge. I consent to the processing of my personal data for ministry registration purposes. My information will be kept confidential and protected under the church's privacy policy.
Signature over printed name *
Printed name
Date *
For church use only
GroupKalalakihanKababaihanSingle AdultYoung MarriedKabataanMga Bata
Received by
Date received
Encoded online