Biserica Cretin Baptist

HARUL Timioara
Str. Lisabona nr. 14, 300 603, Timioara
Tel. 0356-446 720; www.harul-tm.ro
E-mail: contact @harul-tm.ro

Fi de membru
Nr. ______________
Data _____________

Aceast fi se va completa integral, de ctre fiecare membru al bisericii.

A. DATE PERSONALE :
1. Numele___________________________________________
2. Prenumele ________________________________________
3. Naionalitatea______________________________________
4. Sexul

5. Fiul / fiica lui________________ i a lui_________________

6. Data naterii______________ localitatea_________________
7. Domiciliul: Str._____________________________ Nr._____
Bl.__Sc.__Et.__ Ap.__Cod potal__________Zona________________________________________
Localitatea______________________________
8. Telefon acas_____________Telefon serviciu____________Telefon mobil___________________
9. E-mail___________________________10. Locul de munc_______________________________
11. Program de lucru________________________12. Funcia________________________________
13. Alte meserii cunoscute____________________________________________________________
14. Limbi strine cunoscute___________________________________________________________
15. Posesor permis auto:

Da

Nu

16. Posesor auto, tip (autoturism, microbuz, etc)________________________

17. Transport la biseric: necesit / pot oferi ajutor ______________________
B. DATE DESPRE FAMILIE:
1. Starea civil :

Necstorit()

Cstorit()

Vduv()

Divorat()

2. Data cstoriei__________________
3. Nr. fi membru so/soie_____________(se completeaz de ctre secretarul Bisericii)
4. Numele i prenumele soului/soiei___________________________________________________
5. Religia soului/soiei______________________________________________________________
6. Copii:
Numele i prenumele

Data naterii

________________________________________________

_______________________

________________________________________________

_______________________

________________________________________________

_______________________

________________________________________________

_______________________

________________________________________________

_______________________

5. Persoane din familie cu apartenen religioas diferit: ___________________________________

Biserica Cretin Baptist

HARUL Timioara
Str. Lisabona nr. 14, 300 603, Timioara
Tel. 0356-446 720; www.harul-tm.ro
E-mail: contact @harul-tm.ro

Fi de membru
Nr. ______________
Data _____________

C. SITUAIA MEMBRAL:
1. Botezat la data de _________________de ctre_________________________________________
n Biserica________________________________________________________________________
2. Am devenit membru al Bisericii Cretine Baptiste Harul n data de____________________
Prin:

Botez

Transfer de la ____________________________________________

3. Chemarea pe care o am este_________________________________________________________

4. Frecvena la biseric

duminic dimineaa

5. Particip la o grup de studiu biblic :

Nu

duminic seara
Da

miercuri

____________________________________

6. Integrare n slujire: lider/ (conduc o lucrare n biseric)________________________________

membru/ (sunt parte a unei/unor echipe de slujire): ____________________

__________________________________________________________________________________

nu sunt integrat/ (nu am nici o slujire n biseric)

D. ALTE INFORMAII:
1. Nivelul de educaie:

studii primare

generale

profesionale

liceale

postliceale

superioare

2. Cursuri biblice absolvite____________________________________________________________

3. Religia anterioar__________________________________________________________________
4. ntmpinai restricii din partea familiei care s v afecteze viaa spiritual sau participarea la
programele bisericii?_________________________________________________________________
5. Probleme grave de sntate n familie_________________________________________________
6. Informaii despre locuin :

chirie

locuin personal

7. Persoan/e aflat/e n ntreinere (numele i n ce calitate este / sunt ntreinut / / e) _____________

__________________________________________________________________________________
8. Starea financiar:

foarte grea

grea

satisfctoare

bun

foarte

bun

9. Observaii diverse:
___________________________________________________________________________________
___________________________________________________________________________________

Semntura,