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          APPLICATION FORM

Name                                                      Telephone          Off :  

& Address :                                              (with STD code)    Res: 

                                                                                     

Dist:                       Pin:                        E mail :        

                                     

Educational           

 Qualification :                                     

 

Languages known :                     

         

 Age &                  

 Occupation   :

         

Family Details

Marital Status                   :  Married                         Sex:      Male/ Female

                                         Single

                                         Widow(er)

 

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Spiritual Experience

Do you have the Born- again experience            :  ______     

If yes,  have you taken water baptism                :         ____  If yes, date________

Have you received the Baptism of the Holy Spirit :        ____  If yes, date________

Church Affiliations

Name of your church                   :

Address                                     :

Do you have a burden

for revival in India?                     :

         

Are you prepared to pray everyday

for it?                                        :

         

Can you commit to pray atleast

30 min. everyday to pray for India? :

         

Your present involvement in existing

                     Prayer groups       :                  

 

Do you have any physical or mental

                                      disability?      :

 

 

         

         

Date   :

Place  :                                                                  Signature of the candidate

 

 

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Check list

        Check the following before sending the application:

                Passport size photograph       

                   Whether attested           

                   Testimony                                                  

                   Address with pincode             

 

               

        Write your testimony in brief: