Preparing a Demo

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PERSONAL DETAILS

Gender *

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Name *

Birthdate *

Employment Status *

Employed

Unemployed

University Student

Scholar

Employer

Pensioner

Job Title

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Employer

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Address *

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CONTACT DETAILS

Mobile Phone *

Home Phone

Email

Would you like to receive church event updates via SMS?

Yes

No

MARITAL STATUS

Marital Status *

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Anniversary date:

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CHILDREN: (Minors who are residing and are joining CRC with you)

How many children do you have? *

2

3

4

5

0

1

Details of Children

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Child 1 Gender:

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Child 1 Name & Surname:

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Child 1 Birthdate:

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Child 2 Gender:

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Child 2 Name & Surname:

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Child 2 Birthdate:

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Child 3 Gender:

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Child 3 Name & Surname:

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Child 3 Birthdate:

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Child 4 Gender:

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Child 4 Name & Surname:

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Child 4 Birthdate:

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Child 5 Gender:

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Child 5 Name & Surname:

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Child 5 Birthdate:

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HOMECELL

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Are you in a Homecell? *

Yes

No

What is your Homecell Leader’s name?

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Would you like to join a homecell?

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BAPTISM

Have you been baptised as an adult? *

Yes

No

Would you like to get baptised?

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HOLY SPIRIT

Do you pray in tongues? *

Yes

No

Would you like to pray in tongues?

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Signature *common.clear

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