Member Self Registration

ACK St. Augustine Parish – Umoja II

"To Know Christ and Make Him Known"

Important Notice:
This is a self-registration form. Your registration will be reviewed by the parish administration before approval.
You will be able to login only after your account is approved.

Applicant Details

Full Name *

Phone No. *

Date of Birth

ID No. *

Create Password *

Email Address

Nationality

Occupation

Employer

Residence Zone *

Marital Status

Married in Church?

Baptized?

Confirmed?

Year of Joining Parish

Spouse Details

Spouse Name

Phone No.

Date of Birth

ID No.

Membership Number

Email

Nationality

Occupation

Employer

Baptized?

Confirmed?

Year of Joining Parish

Children / Dependants

Child 1 Name

Child 1 Age

Areas of Interest / Service

Sunday School Teaching Men (KAMA) Mother’s Union Youth Ministry Ushering Praise & Worship Bible Study Intercessory Prayer Visiting / Mercy Ministry Choir Zone Fellowship TEE

Other Skills / Interests