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admin@hollandparksynagogue.org.uk
St James's Gardens, London, W11 4RB
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Home
About us
Our Rabbi
Our Executive Committee
Our History
Membership
Synagogue Life
Future Events
Education/ Shiurim
Services
Information
Membership
Life Cycle
HPS Families
YOHO
Kerens Nursery
School Visits
CRP
Bereavement
HPS Cares
Contact
Donate
APPLICATION FOR MEMBERSHIP
PRIVATE & CONFIDENTIAL
I hereby apply for election as a Member of the Spanish & Portuguese Synagogue, address above, in accordance with the rules of the Congregation of the Synagogue now in force, and I undertake to abide by the rules and any other rules that may hereafter be enacted. I also undertake to pay to the Synagogue an Annual Finta (Membership Contribution) in the sum fixed by the Executive Committee from time to time.
Title
---
Mr
Mrs
Miss
Ms
In case of a lady applicant, please give status
---
Married
Single
Divorced
Widowed
Hebrew Name
Cohen
Levy
Israel
Father's Hebrew Name
Widowed lady to give Hebrew name of late Husband
Full Address
Post Code
Home Telephone Number
Office Telephone Number
Email Address
Occupation
Date of Birth
Place & Country of Birth
Please attach a current photo of the applicant and their partner if married.
If hitherto a member of another Synagogue, please state full name & address:
By whom introduced or name of nearest relative who is a member of the Congregation
In the case of a married applicant, please give name & address of Synagogue where married, date on which marriage took place
Enclose a copy of your Ketubah
Wife's Name
Wife's Hebrew Name
Wife's Maiden Name
Wife’s Date of Birth
Wife's Home Telephone Number
Wife's Office Telephone Number
Wife's Email Address
Wife's Occupation
If either the applicant or his wife is a convert to Judaism, please give name & address of authorising Beth Din and date of conversion
In the case of single applicant, state name & address of Synagogue where parents were married and date of marriage
Name(s) of children (if any)
Hebrew Name(s) of Children
Date(s) of Birth of Children
Details of Nahalot (if any)
I am willing/not willing to sign a Gift Aid Form (please delete as appropriate)
Willing
Not Willing
All members shall pay Finta Beth Haim (Ascama12). The Executive Committee Reserves the rights to forego this payment if the following declaration is signed. If this is not signed, you will be invoiced as per attached schedule.
I Agree
I do not desire now to acquire the right to be buried in the Burial Grounds of the Congregation and request the Executive Committee to forego my contribution of Finta Beth Haim.
Signature of Applicant
Date Signed
APPLY
