Registration Form

FIJIAN COMMUNITY DATABASE

We would like to update our database of Fijians in Europe and be able to establish contact with members of the Fijian community.

We invite you to register by providing us with the following information:

* Family Name

* First Name

* Gender Male Female

* Date of Birth

* Passport Number

* A Photo of You

* Address

* Email

* Phone

Fax

Dependents

Date of Arrival(mm/yy)

Koro/Tikina/Yasana

Occupation

Visa Status

Next of Kin

Contact

Do you wish to be included in the directory Yes No

Are you a member of any religious or other organization?Name:

Intended length of stay

Additional comments