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Title:
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Mr.
Mrs.
Miss.
Sir.
Chief
High Chief
Dr.
Hon.
Barr.
Engr.
Prof.
Pst.
Rev.
Sen.
Other
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Middle Name:
Last Name:
Gender:
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Male
Female
Date of Birth:
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Mobile:
Email:
State of Origin:
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Abia
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Enugu
Edo
Ekiti
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nasarawa
Niger
Ogun
Osun
Oyo
Plateau
Rivers
Sotoko
Taraba
Yobe
Zamfara
Address:
Occupation:
Department Belonged (1st):
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City Of David
Dance
Data Management
Drama
Evangelism
Follow Up
Generation Next
House Keeping
Media
Pastoral Care
Prayer
Protocol
Rock Clinic
Rock Kids Zone
Rock News
Security
Sights and Sound
Social Media
Technical
Teens Church
Ushering
Word House Academy
Word House News
Department Belonged (2nd):
Select
City Of David
Dance
Data Management
Drama
Evangelism
Follow Up
Generation Next
House Keeping
Media
Pastoral Care
Prayer
Protocol
Rock Clinic
Rock Kids Zone
Rock News
Security
Sights and Sound
Social Media
Technical
Teens Church
Ushering
Word House Academy
Word House News
Post In Dept.:
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Head of Department
Assist. Head of Department
Secretary
None
Marital Status:
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Single
Engaged
Married
Divorced
Widow
Widower
Spouse:
hhh
Disability:
Membership Status:
Church Member
NYSC (Are you a Corper?):
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No
Batch A
Batch B
Batch C
Post In Church:
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Pastor
Administrator
Head of Department
Assist. Head of Department
Church Member
CITH/PCU:
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ACHARA L/OUT
AGBANI ROAD
GOSHEN ESTATE
GRA-1
GRA-2
HOTR CHURCH
IND. L/OUT-1
MARYLAND
NEW HEAVEN
OLOGO
TRANS-EKULU
TRANS-EKULU-2
UGWUAJI AXIS
Post In CITH/PCU:
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CITH / PCU Leader
Assistant CITH / PCU Leader
None
Ministry:
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2 in 1
Children's Church
Woman 2 Woman
Teen's Church
The Alternative Service
Men Of Honour
Welfare
None
Outreach:
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Project Feed
Prison
Scholarship
None
Date Visited:
Word House Academy:
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Yes (Membership Class Only)
Yes (Membership Class, Finding The Rock Only)
Still Attending (Spiritual Authority)
Yes (All The Classes)
Not Attended
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