Survey

Name *

Yes No

Address *

Email Address *

Date of Birth DD/MM/YEAR *

We do not discriminate against marrital stautus but ask that you remain faithfull *

Yes No

Please indicate the following *

Yes No

Are you married *

Yes No

Un Married *

Yes No

Divorced *

Yes No

Civil Partnership *

Yes No

Common Law *

True False

Please Indicate the Following *

Yes No

Male *

Yes No

Female *

Yes No

Please give a statement of your beliefs *

Do you currently belong to a church or ministry *

Yes No

You are applying to become a member of NHCUK only do you understand this? *

Yes No

Have you ever been convicted of a crime *

Yes No

will you uphold the constitution of Yeshua International and the statement of Beliefs. *

Yes No

Have you accepted Christ as the savior of Mankind *

Yes No