:: City Harvest Church (2011) ::

APPLICATION FOR ORDINARY MEMBERSHIP

Complete the details on this form if you desire to make City Harvest Church (CHC) your home church
and become an Ordinary Member with us.
Note: the form should be completed by each individual applicant.

Full NRIC Name: (as appears in NRIC)
NRIC/FIN/Passport: (e.g. S1234567G)
Date of Birth:	Gender:	Male Female
Street Address:
Postal Code:
* Country:
Home Phone:	Work Phone:
Mobile Phone:	Email:

* CHC accepts only local and not overseas membership application.