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Revised-RF01

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12 views

Revised-RF01

Uploaded by

benedict.alavarta
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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INDIVIDUAL MEMBERSHIP FORM [RF-01]


PERSONAL INFORMATION

Title First Name Middle Name Last Name Extension Preferred Name

Sex Assigned at Birth Preferred Pronoun Date of Birth (mm/dd/yy) Place of Birth Civil Status

Address

Employment Status (Employed, Unemployed, Underemployed, Student, etc.) Field of Work

Phone Number E-mail Address Check box if you wish to receive notifications from the official channels of the IFI.

Name of Emergency Contact Relationship with Emergency Contact Phone Number of Emergency Contact

ORGANIZATIONAL INFORMATION

Parish and Address Diocese


Check corresponding box:
Pledger Tither If involved in lay ministry/ies, please enumerate. (Continue on separate sheet, if necessary.)
Positions Assumed in the Organization
YEARS OF
COUNCIL, COMMITTEE OR COMMISSION INVOLVEMENT POSITION
from to

(Continue on separate sheet, if necessary.)


OTHER INFORMATION
Voluntary Work or Involvement Outside the IFI, Such as in Government, Civil Society and Other Organizations
YEARS OF
NAME AND ADDRESS OF ORGANIZATION INVOLVEMENT POSITION/NATURE OF WORK
from to

(Continue on separate sheet, if necessary.)


I sign this form to certify that the above information is true and correct.
Noted by:
____________________________________
Signature over Printed Name / Date ____________________________________
Parish Priest
I consent to the collection, use, disclosure and processing of information provided
in this form as described in the Privacy Notice.
____________________________________
NOTE: Please fill up in duplicate copies, one for Parish and another for Diocese. Parish Youth President

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