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Fill The Prayer Request Online
Are you a participant?
If YES, Enter Registration Number
Full Name
Date of Birth
Place of Birth
Home Town
Your Phone Number
Your Occupation
Resident/House No./Address or Digital Address
Contact Person( In case of Emergency )
Mother’s Name:
Dead/Alive:
Father’s Name:
Dead/Alive:
Formal Church:
Current Church:
Ancestral Background:Tell us about your ancestral history



 
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Have You Ever Been To Any Shrine, Idol Worship Center, Ocultic Church/Center?
If YES, Enter Name:
State Any Type Of Rituals Performed And Things Used For The Rituals:

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State Your Urgent Prayer Request:

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Enter Amount of COVENANT CONNECTION SEED:
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