St. James Jacobite Syrian Orthodox Church

Membership Form

Full Name of the Applicant*

Local Address*

Home Address in India*

Home Parish in India*

Martial Status*

Blood Group

Telephone Number in Qatar(Res:)*

Telephone Number in Qatar(Mob:)*

Telephone Number in India(Res:)*

Telephone Number in India(Mob:)*

Date of Birth*

Wedding Anniversary*

Emergency Contact Name (Qatar)*

Emergency Contact Number (Qatar)*

Emergency Contact Name (India)*

Emergency Contact Number (India)*

Company Name*

Qatar ID*

Family Member's Name*

Relationship*

Date of Birth*

Blood Group

Residing (Qatar/India)*

Church Membership Fee*

Monthly Subscription*

Upload Your Photo(size:100*100px)*

Upload Vicar Letter(obtain letter from home parish of husband if the applicant is female)*

I do hereby solemnly swear that Myself & My Family will obey the Apostolic Hierarchy and abide the faith of Universal Syrian Orthodox Church under the Holy See of Antioch and all the East, It’s law and rules governing the Parish formed periodically. In case we depart the above, our membership will be withdrawn unconditionally.