Membership Registration Form - ACK St. Hellens Githurai Join ACK St. Hellens Githurai

Thank you for your interest in joining our church family!

Please complete the form below to begin your membership journey. We’ll follow up with you soon. God bless!

alternatively you can download the form below

PERSONAL INFORMATION

Name of the Applicant

Mobile Number

Date of Birth

Gender(Choose)

Profession/Occupation

Place of Work

Baptism(check)

YES NO

Church

Confirmation(check)

YES NO

Church

FAMILY INFORMATION

NOTE: (Write where applicable to you)

MARRIED

SINGLE

WIDOWED

SEPARATED

NAME OF THE SPOUSE

MOBILE NUMBER

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Lipa na Mpesa

Paybill 400222 – ACC 546766#

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