Personal Details




    Sex
    MaleFemale
    Marital Status
    MarriedSingleDivorce




    Country

    Citizen of

    Postal Address

    Residential Address

    Phone

    Email

    Spiritual History

    Head Pastor's Name

    Date of Salvation

    Date of Holy Spirit Baptism

    Place of Holy Spirit Baptism

    Name of the Church

    Address of the Church

    Responsibility in Church Ministry

    Area of the ministry

    A brief testimony of you become born again

    Are you Member CBC
    YesNo
    If yes please state in brief how you join CBC

    please submit pastors elders recommendation certificate of the Church/Ministry, Head man & Baptism certificate

    Health History

    Do you have any ill health issue
    YesNo
    If yes briefly tell us your condition

    Education Information

    Name of Institution

    From

    To

    Courses of studies

    Certificate Diploma / Degree