Application Form

Please ensure that the information provided below are accurate to the best of your knowledge. The form is to be accompanied with 2 passport photographs at submission.

Personal Data
Surname   First Name   Sex
Nationality   Date of Birth   Status

Contact
Residential Address
City   Local Government Area
State   Province   Country
Postal Address
E-mail     Telephone

Training & Education
Name of Institution   Qualification Obtained   Date
   
   
   
 
Profession   Emlopyer
 
Religion   Name of Church
Church Address   Telephone
Name of Pastor   Telephone
 

Please complete the following if Religion is other than Christianity.
Referee Name   Occupation
Contact Address   Telephone
         
How did you hear about us?
A      
         
B      Full Name  
        Mobile
  

Account Name: The Shepherd's Flock International Church - RHLI
Account Number: 0150813740
Bank: GTBank, Mobolaji Bank Anthony Way Branch, Ikeja.

Accommodation: 2 Persons in a room (NGN 45,000 per person for six nights)

(NOTE: No cash payment is accepted. Only bank deposits)

News & Events

Real Time Enquiries

+234 90 2976 6076, +234 81 8811 1112
Name
Mobile
Email
Message
 


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