Title —Please choose an option—MrDrEngrBarrProfChiefOtunbaSirOther
Full Name
Date of birth
Marital status —Please choose an option—SingleMarriedWidowed
State of origin (optional)
Home town (optional)
Passport photograph (JPG or PNG, max 2MB)
Phone number
Email address
Residential address
Profession or occupation
Employer or business name (optional)
Areas where you could serve (optional)
Finance and accountsLegalBuilding and engineeringMedia and ITMusicWelfare and visitationEvents and socialsOther
Year you joined the Church of the Ascension
Are you baptised?
YesNo
Are you confirmed?
I agree to abide by the constitution of the Society and to meet my subscriptions and contributions.
I consent to the Society storing my details and using my name and photograph in Society publications and on its website.
