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Personal Information

Module Interested

Salutation

Surname

First Name

Gender

Mobile

Email

Church

Address

Date of Birth

Country of Birth

Citizenship

Recent passport photo

Partial NRIC (last 4 characters e.g. 123A)

Marital Status

Date of Marriage (if applicable)

Highest Educational Level

PSLE or equivalent

GCE O Level or equivalent

GCE A Level or equivalent

Diploma

Bachelor's Degree

Post-Graduate Diploma

Master's Degree

Ph.D. or equivalent

Others

Others

Company Name (if not working - NA or Student)

Company Address (if not working - NA or Student)

Which DG do you belong to in ORPC? (Name of DG - DGL; e.g Living Water - Peter Tan; if none - NA)

Family Members (Spouse - NAME, DOB; Child - NAME, DOB; Sibling - NAME, DOB etc.; if none - NA)

How long have you been worshipping in ORPC?

How long have you been a Christian?

What other churches have you attended, if any? (If none - NA)

Are your parents Christians? (Baptism candidates only)

Yes

No

Confirmation candidate

Transfer candidate

Date and place of baptism or infant baptism (Confirmation and Transfer candidates only; Baptism - NA)

Certificate (Infant Baptism/Membership Certificate)

Church transferred from (Transfer candidates only; Baptism/Confirmation - NA)

Why do you want to be baptised/confirmed/transferred?

I consent to the collection, use and disclosure of my personal data by Orchard Road Presbyterian Church (ORPC) for purposes related to my application for membership with ORPC through baptism. I acknowledge that if I am accepted as a member of the church, ORPC may process, use and disclose my personal data for the purpose of administering and managing my membership with ORPC. I acknowledge that ORPC may use this information for the purposes of carrying out pastoral care programmes and communication of events, programmes and church-related information. I recognise ORPC's commitment to ensure that my personal data will not be used or disclosed for any other purpose except for administering and managing my membership and will take reasonable measures to protect my personal data from unauthorised access, use and disclosure.