FAIRFIELD METHODIST CHURCH (FFMC) Members' and Regular Worshippers' Personal Particulars Form
Dear Members & Regular Worshippers of Fairfield Methodist Church,

We are conducting a membership update project in March 2018 to update FFMC's members'/regular worshippers' database. Please take some time to complete below online form. Kindly submit a copy of your passport photo to church office for record purpose.

Thank you for your co-operation in this project.

Senior Church Administrator
Fairfield Methodist Church

Full Name (Surname/First Name/Christian Name) *
Your answer
Title *
Mr
Mrs
Miss
Ms
Dr
Select One
Gender *
Male
Female
Select One
NRIC/FIN Number *
Your answer
Nationality *
Your answer
Race *
Your answer
Dialect Group *
Your answer
Date of Birth (DD/MM/YYYY) *
Your answer
Marital Status *
Single
Married
Widowed
Divorced
Select one
If Married, Please indicate Date of Marriage (DD/MM/YYYY)
Your answer
Mailing Address *
Your answer
Telephone (Home) (NA, if not applicable) *
Your answer
Telephone (Office) (NA, if not applicable) *
Your answer
Telephone (Mobile) (NA, if not applicable) *
Your answer
Email Address *
Your answer
Highest Educational Level Attained *
Primary
Secondary
Post Secondary (Non Teritary)
Diploma & Professional Qualifications
University
Select One
Occupation *
Your answer
Are you baptised? *
Yes
No
Select One
Are you a member of Fairfield Methodist Church? *
Yes
No
Select one
Attended Fairfield Methodist Church since (Please indicate year)
Your answer
Are you a member of a Small Group? *
Yes
No
Select One
If yes, name of Small Group (or Small Group's leader)
Your answer
I attend following service(s) *
8.30 am (English Service)
10.30 am (English Service)
10.30 am (Mandarin Service)
2 pm (Cantonese Service)
Not Applicable
Mostly
Sometimes
Details of Immediate Family Members attending FFMC (Please input one member per line in below format : Name/Relationship)
Your answer
In Case of Emergency Contact (Please provide primary and secondary contact as follows : Name/Relationship/Contact Number) *
Your answer
Comments, if any
Your answer
I acknowledge that the Church is collecting my personal data in this form in relation to my participation in Membership Update Project conducted by the Church as part of an online profile sign-up and membership update exercise. I hereby consent to the Church collecting, using or disclosing my personal data to enable the Church to continue to provide services to me. I also consent to the Church contacting me by telephone or sending phone or email messages to me in relation to this project. *
Do you wish to receive regular updates via postal mails or electronic mails from the Church? *
Yes
No
Select one
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