2023 Membership Registration | UPNG Adventist Church

Please tick which ever applies (tick one): *

For UPNG Students, Please put 'Course' & 'Year'

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Last

Name *

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Last

Sex *

Marital Status *

Date of Birth *

Occupation *

Home Province *

Home District *

Phone / Mobile

Email

Place of Residence *

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Last

1. Please tick which ever applies (tick one): *

2. Are you a member of the SDA Church? (tick one) *

3. Are you a baptized member of the SDA Church? (tick one) *

4. If 'Yes', please state Baptism Date (Day, Month, Year - if known)

5. If 'Yes', please state 'Place of Baptisim' and 'Officiating Pastor'

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Last

6. Where is your current SDA church membership? (if known)

7. State Month & Year when you started attending UPNG Campus Church, Hope Branch or Mt Horeb:

8. Have you transferred membership? (tick one) *

If 'Yes', state Year

9. Would you like to transfer membership? (tick one) *

10. If you are a non-baptized member, would you like to join the Baptismal Class? (tick one) *

UPNG Adventist Church Membership Survey 2023