Independent Church of India

ZEMABAWK KOHRAN
Worskhop Vêng, Aizawl, Mizoram

To,

The Chairman/Secretary,
Independent Church of India
Zemabawk, Kohran

Subject: Kohran Membera lut hnina.

Zemabawk ICI Kohran member ni ve ka/kan nuoma, a hnuoia ang hin sungkuo bio-data
ka hung suklang:-

chang/changlo
Nuhmei /Pasal

Piengni,thla
le kum
Dan sunga
um/umlo

Baptisma
Sl.no

Hming Pa hming /Nu hming

1
2
3
4
5
6
7
8
9
10

Thil ṭul danghai:

1. Suoksan/umna khuo: ___________________________________________
2. Inpem lutna veng: ___________________________________________
3. Inpem nasan: ________________________________________
4. Kohran lakha nei/neilo: _______________________________
7. Phone No. _________________________________
Ka hnina hi in mi pawmpek chun,lawm hleng ka tih.

Date…………………….. Sungkuo â iawin

Signature: --------------------
Hming pum: (_____________________________)