Membership Form

First Name

Last Name

Date of Birth

Spouse Full Name

Address

Email Address

Name of Child 1

DOB Child 1

Name of Child 2

DOB Child 2

Name of Child 3

DOB Child 3

Name of Child 4

DOB Child 4

Name of Child 5

DOB Child 1

Name of Next of Kin

Relationship

Address 1 Next of Kin

Kin Phone No.

Date of Baptised

Have you received anointing of the Holy Spirit

Name of Church attended previously

Describe if you have any vision of ministry

Declaration

1. I believe and accept the apostles doctrine as taught in the Word of God.
2. I also accept to abide by the church Constitution and By-Laws.
3. I have provided this information, and any documents accompanying it in good faith and declare that they are true and correct to the best of my knowledge and belief.

Date of Submission

Add Family Photo

A fellowship of believers gathering to worship God and live by His Word.

Social Media :

Membership Form

Quick Links

Account