EFT Registration Form

Missionary Information Intake Form
Full Name*

PrefixFirst NameMiddle NameLast Name
Gender*
Marital Status*
Birth Date*

DayMonthYear
Nationality (ethnicity)*
Year Arrived in Thailand
Year issued initial EFT Visa
Passport Number*
Passport Issue Date*

DayMonthYear
Passport Expiration Date*

DayMonthYear
Issuing Country*
Visa Number*
Visa Expiration Date

DayMonthYear
Work Permit Number
Work Permit Expiration Date

DayMonthYear

Primary E-mail*
Org. Staff Email
Current Home Address*

Street Address (Do not enter a P.O. Box)

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
WorkAddress*

Street Address (Do not enter a P.O. Box)

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Cell Phone Number*
Home Phone Number
Work Phone Number

Spouse Full Name

First NameMiddle NameLast Name
Spouse BirthDate

DayMonthYear
Passport Number
Passport Issue Date

DayMonthYear
Passport Expiration Date

DayMonthYear
Issuing Country
Child #1

First NameMiddle NameLast Name
Child #1 Birthdate

DayMonthYear
Gender
Passport Number
Passport Issue Date

DayMonthYear
Passport Expiration Date

DayMonthYear
Issuing Country
Child #2

First NameMiddle NameLast Name
Child #2 Birthdate

DayMonthYear
Gender
Passport Number
Passport Issue Date

DayMonthYear
Passport Expiration Date

DayMonthYear
Issuing Country
Child #3

First NameMiddle NameLast Name
Child #3 Birthdate

MonthDayYear
Gender
Passport Number
Passport Issue Date

DayMonthYear
Passport Expiration Date

DayMonthYear
Issuing Country
Child #4

First NameMiddle NameLast Name
Child #4 Birthdate

DayMonthYear
Gender
Passport Number
Passport Issue Date

DayMonthYear
Passport Expiration Date

DayMonthYear
Issuing Country
Child #5

First NameMiddle NameLast Name
Child #5 Birthdate

DayMonthYear
Gender
Passport Number
Passport Issue Date

DayMonthYear
Passport Expiration Date

DayMonthYear
Issuing Country
List Additional Children (include birthday and passport information)

Primary Ministry*

Church PlantingEvangelistProfessorSocialAdministrationTechnicalTrainingMercyOther
People Focus*
People Group
Place of Ministry (Regional)*
Place of Ministry (Provincial)*
Thai Foundation Partnership
EFT Supervising Agency*
Sending Organization*
Sending Organization Website
List Professional/Employment/Ministry Experience (start from most recent one)

Education*

BachelorsMastersDoctorate or PhdHigh SchoolOther
School you last graduated from*
Type of Degree conferred*
Yearly Family Income in US Dollars*
Passed Thai Grade 6 Exam*
Thai Listening Ability*
Thai Speaking Ability*
Thai Reading Ability*
Thai Writing Ability*
Comments

Upload your Thailand visa picture
Please upload a copy of your visa photo*

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Please fill out all applicable fields on each tab.

Required fields must be filled-in before the form can be succesfully submitted.

Only provide information of children who have an EFT follower Visa

Please upload a passport photo of primary visa holder

After you press the submit button the information is encrypted and emailed securely to an EFT official.

If you have any questions regarding this form please click here to email your question
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