Registration

SPONSORSHIP AND RECOGNITION

SPONSOR
NAME OF DIOCESAN PASTOR

Name of Curent Pastor in Charge of Diocesan

DIOCESE

Name of Diocese

DIOCESAN PASTOR CONTACT NUMBER

Phone Number of Pastor in Charge of Diocesan

PARISH/DISTRICT PASTOR CONTACT NUMBER

Example: Pastor John Odeh / 080900000000

NAME OF DIOCESE / DISTRICT/PARISH WITH FELLOWSHIP ADDRESS

Name / Traceable Address of Location currently identified or working

DATE JOINED WCCRM
DATE JOINED DEPARTMENT

PERSONAL INFOMARTION

First Name
Last Name
Profession

My current Job

Skill

technical skill

Phone Number
MARITAL STATUS
Birthday

Date of Birth

Language(s)

Separate by comma

Current Residential Address

including Country and State

PLACE/STATE/COUNTRY OF BIRTH
COUNTRY/STATE/L.G.A. OF ORIGIN
POPULAR FAMILY NAME IN COMMUNITY

BASIC INTERVIEW

OCCUPATION
OCCUPATIONAL STATUS
DISABILITIES
OTHER DISABILITIES EXPLANATION

IF YOU HAVE SELECTED "YES (OTHERS)" IN DISABILITIES PLEASE KINDLY SPECIFY

RELATED EQUIPMENT(S) PROFESSIONALISM

HOW GOOD I CAN BE ON REGULAR RELATED EQUIPMENT(S)

ACCOUNT/PROFILE SECURITY SETTINGS

User Name
E-mail
Password
Password Confirmation

Main

Nickname
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