Christian name and other name columns go in the given name field. The baptism year is actually 2016, although not immediately discernable from the image (film reference is 1999-2019 see image attached), the 2 digit year would have to be entered per FH instructions. Mothers name is Evelyn Chipomaio.
Your image in the film is this https://www.familysearch.org/ark:/61903/3:1:3QHV-1Q49-PC39
Nathaniel Simon Notheisen
Refer to the Project Instructions: How to Index a Baptism Register, Example 1
Entry 1: Mother's Surname: Chipomho