BABY DEDICATION FORMS

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SECTION A: CHILD / WEDDING DETAILS
Date of Child's Birth05/06/2025
Sex of ChildMale
Child's NameRHEMA TAMUNODIEPRIYE
Date of Parent's Wedding28/05/2022
Nature of Parent's WeddingCHURCH
Where?CE LUXURIANT CHURCH
SECTION B: FATHER’S PROFILE
Name of FatherINENGIBOSI LUCKY
Home Address1B ELEKAHIA ROAD, PORT HARCOURT.
PORT HARCOURT, RIVERS STATE
Nigeria
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OccupationBUSINESS
Occupational Address13 EZIMGBU CRESCENT, MUMMY B ROAD, GRA, P. H
PORT HARCOURT, RIVERS
Nigeria
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Phone Number07062518069
EmailEmail hidden; Javascript is required.
Name of PCFPEARL
Name of PCF LeaderSIS ROSEMARY EKEKE
Name of Cell LeaderLUCKY INENGIBOSI
When did you join Christ Embassy?2021
Where?PORT HARCOURT
When did you get born again?2010
Where?WINNERS' CHAPEL
Are you filled with the Holy Spirit?Yes
When and Where?2010, WINNERS CHAPEL.
Have you been baptized by immersion?Yes
When and Where?2015, WINNERS CHAPEL.
Have you completed your Foundation School?Yes
When and Where?2021, CE LUXURIANT CHURCH.
Your designation in Church?CELL LEADER
Are you a partner in Church?YES
Which Partnership are you?ROR, HEALING SCHOOL, LTM.
PCF Leader's Recommendation

HE IS A COMMITTED AND CALL TO DO BROTHER.

SECTION C: MOTHER'S PROFILE
Name of MotherINENGIBOSI CYNTHIA
Home Address1B ELEKAHIA ROAD, PORT HARCOURT.
PORT HARCOURT, RIVERS
Nigeria
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OccupationBUSINESS
Occupational AddressORDINANCE ROAD, TRANS AMADI, PORT HARCOURT.
PORT HARCOURT, RIVERS STATE
Nigeria
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Phone Number09034989042
EmailEmail hidden; Javascript is required.
Name of PCFPEARL
Name of PCF LeaderSIS ROSEMARY EKEKE
Name of Cell LeaderSIS ROSEMARY EKEKE
When did you join Christ Embassy?2020
Where?PORT HARCOURT
When did you get born again?2016
Where?SALVATION MINITRIES
Are you filled with the Holy Spirit?Yes
When and Where?2018, THE WEALTHY PLACE.
Have you been baptized by immersion?Yes
When and Where?2018, THE WEALTHY PLACE.
Have you completed your Foundation School?Yes
When and Where?2020, CE LUXURIANT CHURCH
Your designation in Church?USHER
Are you a partner in Church?YES
Which Partnership are you?FOR, HEALING SCHOOL, LTM.
PCF Leader's Recommendation

SHE IS COMMITTED TO THE WORK.

SECTION D: UPLOAD YOUR DOCUMENTS
Photocopy of Marriage CertificateIMG_20250820_091408_981.jpg
Photocopy of Foundation School CertificateIMG_20250820_090944_179.jpg
Photocopy of Baptismal CertificateIMG_20250820_091010_128.jpg
Passport Photography of FatherPassport Photography of Father
Passport Photography of MotherPassport Photography of Mother