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Level 1 - Registration Form for New Members
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* Indicates required question
First Name
*
Your answer
Last Name
*
Your answer
Phone Number
*
Your answer
Email
*
Your answer
Residential Address
Your answer
Marital Status
Single/Engaged
Married
Divorced
Other:
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Occupation
Employee
Entrepreneur
Other:
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Place & Type of Work (e.g. Save the Children, Research etc.)
Your answer
If married, family size
2-5
6-10
Other:
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Are you born again?
Yes
No
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What kind of baptism have you done?
Water by Immersion
Holy Spirit
Both
None
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What is the name of your previous church?
Your answer
What Holyhill Church Centre do you attend?
The Purple Place
Kabusa
Apo
Giri
Kubwa
City Centre
Mpape
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