Bahá’í Declaration Form

If you would like to become a Bahá'í, please either print out this page or copy and paste it into your email program and follow the instructions:

By signing below, I declare my belief in Bahá'u'lláh, the Promised One of God. I also recognize the Báb, His Forerunner, and 'Abdu'l-Bahá, the Center of His Covenant. I request enrollment in the Bahá’í Community with the understanding that Bahá'u'lláh has established sacred principles, laws, and institutions which I must obey.

Signature: _____________________________________________________

Date: (mm/dd/yy)________________________________________________

Have you previously enrolled in the Bahá'í Faith? yes __ no __

 

Registration Information

Full Name: _____________________________________________________

Address: _______________________________________________________

City: __________________________ State: ________________________

Zip: ________________ Country: _________________________________

Country/State of birth: ________________________________________

Male __ Female __   Birth Date:(mm/dd/yy)_______________________

Telephone:(Home) ___________________(Work)______________________


Confirmation of Enrollment

This part is to be completed by an Authorized Representative of the Bahá’í Faith:

Bahá’í locality code ________________

Enrolling Agency:
____ Local Spiritual Assembly
____ National Spiritual Assembly
____ Continental Counselor
____ Auxiliary Board Member


Authorized Signature: __________________________________________

Date:(mm/dd/yy) ________________________________________________

Comments: ______________________________________________________

________________________________________________________________

________________________________________________________________

________________________________________________________________


Mailing Instructions

You can send (snail mail or email) the form to one of the addresses provided below for the National Spiritual Assembly of the Bahá’ís of the United States. If you do not reside in the U.S., they will forward it to the National Spiritual Assembly for your own country.


Declaration Form
Bahá’í National Center
1233 Central Street
Evanston, IL 60201-1611
Email: mis@usbnc.org
Telephone: (847) 733-3400


Welcome to the Bahá’í Community!