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Mission & Vision
Leadership
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Ministries
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Outreach
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Membership Form
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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
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