Personal Details

Full Name (पुरा नाम)*

Email (इमेल)*

Date of birth (BS)(जन्म मिति)*

Date of birth(AD) (जन्म मिति)*

Phone (फोन)

Mobile (मोबाइल नम्बर)*

Gender (लिङ्ग)*

gender == 'male' ? 'checked' : '' }}> Male

gender == 'female' ? 'checked' : '' }}> Female

Current address

Province(प्रदेश)*

Districts (जिल्ला)*

Municipality (नगरपालिका)*

Ward Number (वार्ड नं)*

Street/Tole (टोल)

Permanent address
same as above

Province(प्रदेश)*

Districts (जिल्ला)*

Municipality (नगरपालिका)*

Ward Number (वार्ड नं)*

Street/Tole (टोल)

Profession/Education

Education (शिक्षा स्तर)*

Profession (पेशा)*

Business/Office Name (व्यवसाय / कार्यालयको नाम)

Designation (पदनाम)

Office Contact (कार्यालय सम्पर्क)

Church Details

Church Name (चर्चको नाम)*

Baptism ID (बप्तिस्मा आईडी)*

Baptism Date (बप्तिस्मा मिति)

House Fellowship Area

Family Members

@if ($member_available) @foreach ($member->familyMember as $family)

Relationship (सम्बन्ध)*

Full Name (पुरा नाम)*

Believer/Non Believer (सम्बन्ध) *

Church (चर्च) ^{(required in case of believer)}

@endforeach @endif

@section('page-specific-js') @endsection