PBS JANUARY 2023 – Abel Damina Ministries International

Power Bible School Registration

2nd JANUARY - 27TH JANUARY 2023 ONE MESSAGE - ONE MISSION

The Revelation of Jesus Christ & To Equip Believers To Disciple Men

FILL THE FORM BELOW TO REGISTER

PERSONAL DATA

Name *

First

Middle

Last

Gender *

Female
Male

Place of Birth *

Date of Birth *//

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

Nationality *

ID or Passport # *

Email *

Phone *

Attach Passport Photograph *

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Attach Passport Photograph

Name of Next of Kin (Emergency Contact) *

Emergency Contact Phone *

SPIRITUAL BACKGROUND

Are you born again?

If yes, when? *

What is your vision, and how will PBS help you achieve it? *

How did you hear about Power Bible School? *

MARITAL INFORMATION

Marital Status: *

Spouse/Fiancée’s Name (if any):

Spouse Gender

Female
Male

Spouse Place of Birth

Spouse Date of Birth//

Spouse Nationality

Spouse ID or Passport #

Spouse Email

Spouse Phone

REFERENCES

Reference's Name: *

Reference's Email: *

Reference's Phone: *

Reference's Address:

Please Upload Copy of ID or Passport *

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