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
Day
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
ID No.
*
Create Password
*
Email Address
Nationality
Occupation
Employer
Residence Zone
*
-- Select Your Zone --
JUDEA - A
BETHLEHEM - B1
MACEDONIA - B2
JERUSALEMU - B3
GALILEE - C
BETHANY - D
CANAAN - E
Marital Status
-- Select --
Married
Single
Widowed
Married in Church?
-- Select --
Yes
No
Baptized?
-- Select --
Yes
No
Confirmed?
-- Select --
Yes
No
Year of Joining Parish
Spouse Details
Spouse Name
Phone No.
Date of Birth
Day
Month
January
February
March
April
May
June
July
August
September
October
November
December
Year
ID No.
Membership Number
Email
Nationality
Occupation
Employer
Baptized?
-- Select --
Yes
No
Confirmed?
-- Select --
Yes
No
Year of Joining Parish
Children / Dependants
Child 1 Name
Child 1 Age
Remove
Add Another Child
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
Submit Registration
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