Membership Data Sheet

Please complete all fields

Givings

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1

Gender

Male Female

Date of Birth

Marital Status

Single Married Widow Widower

Marital Date

2

Have you commited your life to Jesus Christ

Yes No

Date of Conversion

Position in Church

Worker Member

Do you belong to a house fellowship

Yes No

How would you like us to keep in touch

By Phone By Email By Text/Mobile By Post

Provincial Headquarters, Parish LP 47

Address: R.C.C.G, Promised Land, Hitech Rd, Beside Lagos Business School, Eti-Osa, Lekki, Lagos.

Telphone: +234 806 942 3510