POPULATION CARD | United Full Gospel Church of God

Use this form to let us know about decisions or prayer requests, or to let us know you're here. Please complete the following fields, then click Submit.

Name (Required)

Email Address (Required)

Your Name (Required)

First, Last

I am a: (Required)

Status

Member

New Convert

Unsaved Youth

Unsaved Child

Branch (Required)

United Full Gospel Church of God you attend

Telephone (Required)

Main Contact

Which officer are you? (Required)

Department you serve in (Required)

Birthdate (Required)

Age (Required)

How old are you?

Residential Address (Required)

Street, Town/City, Parish

Taxpayers Registration Number (Required)

TRN

Occupation (Required)

Job, Profession

Next of kin (Required)

Name and Telephone # of person to contact in case of an emergency

Employment Status (Required)

Marital Status (Required)

Wedding Anniversary

If married

Baptismal Date (Required)

What date were you baptized

Membership Date

Date of right hand of fellowship

I declare that all information submitted is true. (Required)

United Full Gospel Church of God

Lot 913 Rose Heights
Montego Bay, St.James.

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