Auckland Hebrew Congregation Logo

Application For Membership

Title:     First Name:     Surname:

Being Jewish according to the Halacha (Jewish Law) apply for membership of the Auckland Hebrew Congregation

Hebrew Name (in English Characters)

 Ben / Bat

Cohen Levi Yisrael

Barmitzvah Portion

Date of Birth
Day   Month   Year

      Place of Birth
     

Home Address:

Postal Address (If different from home address):

Telephone Number (home)
Mobile
Telephone Number (work)
Email Address

My Wife / Husband also wishes to become a member. Her / His name is

Hebrew Name (in English Characters)

 Ben / Bat

Cohen Levi Yisrael

Date of Birth
Day   Month   Year

      Place of Birth
     

My Children's names and details are:

Child One
English Name
 Hebrew Name

Date of Birth
Day   Month   Year

      Place of Birth
     

Child Two
English Name
 Hebrew Name

Date of Birth
Day   Month   Year

      Place of Birth
     

Child Three
English Name
 Hebrew Name

Date of Birth
Day   Month   Year

      Place of Birth
     

Child Four
English Name
 Hebrew Name

Date of Birth
Day   Month   Year

      Place of Birth
     

Please include any family Yarzeits for our community records:

English Name
 Hebrew Name
Date of Passing
Day   Month   Year 		      Relationship to yourself
     
English Name
 Hebrew Name
Date of Passing
Day   Month   Year 		      Relationship to yourself
     

Please include any additional Yahrzeits on a separate sheet

Are you members of the Chevra Kadisha: Yes No
If not, please complete the Chevra Kadisha Application Form. You have to be a member of the the Chevra Kadisha in order to be accepted as a member of the Auckland Hebrew Congregation.

Your application form membership must include payment in the form of a cheque or completed bank automatic payment form for your first years membership. Please take a look at our rates and make out your payment accordingly.

To assist us in establishing your eligibility and to avoid any delays please attach either a copy of your Ketubah (Marriage Certificate), conversion certificate if applicable, or a letter from a recognised Authority such as your former Rabbi or Community Leader.

If you have been a member of another congregation, please state where:

Signature:

 Date
Day   Month   Year

The following additional information is requested in order that we can be of even better service to you and the community. Please compete where applicable:

Your occupation

          Wife / Husbands occupation
         

Tick the boxes below if you are able to make a contribution to...

Weekly Minyan     Kiddushim Preparation
Advertising / Sponsoring of Kesher     Sponsoring the Web Page
Sponsoring other AHC Publications    

Other(please state)