Membership Covenant Form

Name

Title First Name Middle Name Last Name

Date of Birth *

dd-MM-yyyy

Date of New Birth *

dd-MM-yyyy

Phone *

Email *

Residential Address

Street Address City State/Region/Province

Country

Work Address

Street Address City State/Region/Province

Country

Marital Status *

Name of Spouse

Wedding Date *

dd-MM-yyyy

Number of Children

Were you a member of any other church in the last 12 months? *

What is the reason for leaving?

What is the name of the church?

Address of the church

Street Address Address Line 2 City State

Country

Briefly describe your salvation experience *

What convinced you to become a member of the Precious Peoples Assembly for all Nations? *

Company *

Do you have any advice for the Pastor? *

Affirmation

I have accepted Jesus Christ as my Lord and personal savior. I am baptized by immersion. I am therefore a follower of Jesus Christ publicly and privately and a part of the body of Christ here on earth.
I make a choice today to make Peculiar Peoples Assembly for all nations my local church family. In doing so, I entrust myself to God and the body of Christ in PPAfan to do the following:

I will develop a servant’s heart
I will discover my gifts and talents and use them for the expansion of God’s kingdom here on earth
I will grow in the knowledge

I certify that the information is complete and accurate to the best of my knowledge. *

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