New Members - Online - KNANAYA CATHOLIC SOCIETY OF CHICAGO

APPLICATION FOR KCS MEMBERSHIP

* Indicates required field

NAME OF APPLICANT

First *

Last *

AGE & DATE OF BIRTH

Age *

Date of Birth (Month/Date/Year) *

FAMILY NAME

Family Name *

MAILING ADDRESS

No. & Street Name *

APT/Unit # *

Ward: City *

State *

Zip Code *

PHONE NUMBER

Home *

Mobile *

E-MAIL ADDRESS

Email *

PARISH IN INDIA

Parish in India *

PARISH IN U.S.A.

Parish in U.S.A *

IF MARRIED, IS YOUR SPOUSE A KNANAYITE? *

Yes No

Visa Status *

U.S. Citizen U.S. Permanent Resident

RECOMMENDED BY 1

First *

Last *

No. & Street Name *

APT/Unit # *

City *

State *

Zip Code *

Phone Home *

Phone Mobile *

RECOMMENDED BY 2

First *

Last *

No. & Street Name *

APT/Unit # *

City *

Sate *

Zip Code *

Phone Home *

Phone Mobile *

(RECOMMENDING PERSON SHOULD NOT BE THE RELATIVE OF THE APPLICANT)

I do hereby agree to abide by all the rules and regulations of the Knanaya Catholic Society of Chicago as per its Constitution. I do understand that one has to be a practicing Knanaya Catholic to be eligible for membership in the Society. I also declare that I am a practicing Knanaya Catholic with the eligibility for membership in the Diocese of Kottayam. It shall be my responsibility to notify the K.C.S Secretary, of any change in this given information or conditions. My membership in the society shall be terminated at any time when I shall not meet any of the conditions for membership as per its constitution.

*Please check the KCS Voters List in www.kcschicago.com website home page, before submitting this form. In the website home page, scroll down all the way down to the bottom of the page and look for KCS Voters list and KCS Voters List with Ward and City of Residence. No need to submit, if the name already exist in the voters list.
Use one application for one person.

SIGNATURE OF APPLICANT

Signature (Enter name) *

Date *

Submit