BCD Registration Form

Baptist Children Department a Kum 2011 a kipan naupang minkhum hun a hiai anuai a form fill up sa a Nu-le-pate'n tate sawl/tonpih (a neulamte) dia nget leh theihsak i hi.

(Department:_______________)

BCD Registration Form

Child’s Name_________________________________________________

Date of Birth__________________________________________________

Father’s Name________________________________________________

Contact No._____________________Email.________________________

Mother’s Name_______________________________________________

Contact No._____________________Email________________________

Names and Ages of Siblings ___________________________________________________

___________________________________________________

Address ____________________________________________

___________________________________________________

Any other information______________________________________________