BABY DEDICATION FORMS
| SECTION A: CHILD / WEDDING DETAILS | |
|---|---|
| Date of Child's Birth | 19/08/2025 |
| Sex of Child | Male |
| Child's Name | Eliel Samson |
| Date of Parent's Wedding | 18/04/2024 |
| Nature of Parent's Wedding | Traditional |
| Where? | Ahoada, Odiabidi |
| SECTION B: FATHER’S PROFILE | |
| Name of Father | Ege Samson Chigbobishi |
| Home Address | 26 Manson Orlu Street, Rumuolumeni Port Harcourt, Rivers Nigeria Map It |
| Occupation | Technician |
| Occupational Address | 26 Manson Orlu Street, Rumuolumeni Port Harcourt, Rivers Nigeria Map It |
| Phone Number | 08027001512 |
| Email hidden; Javascript is required. | |
| Name of PCF | Global Impact |
| Name of PCF Leader | Akpos |
| Name of Cell Leader | Mr Akpos Okomeh |
| When did you join Christ Embassy? | 2022 |
| Where? | Iwofe, Rumuolumeni |
| When did you get born again? | 2022 |
| Where? | CE Phronesis Church |
| Are you filled with the Holy Spirit? | Yes |
| When and Where? | 2022, CE Phronesis Church |
| Have you been baptized by immersion? | Yes |
| When and Where? | 2025 |
| Have you completed your Foundation School? | Yes |
| When and Where? | 2025, CE Phronesis Church |
| Your designation in Church? | Rhapsody Chairman |
| Are you a partner in Church? | Yes |
| Which Partnership are you? | Healing Stream and Rhapsody of Realities |
| PCF Leader's Recommendation | He is Steadfast |
| SECTION C: MOTHER'S PROFILE | |
| Name of Mother | Samson Faithful Chimeka |
| Home Address | 26 Manson Orlu Street, Rumuolumeni Port Harcourt, Rivers Nigeria Map It |
| Occupation | Hair Dressing |
| Occupational Address | 26 Manson Orlu Street, Rumuolumeni Port Harcourt, Rivers Nigeria Map It |
| Phone Number | 08056870425 |
| Email hidden; Javascript is required. | |
| Name of PCF | Women |
| Name of PCF Leader | Maureen |
| Name of Cell Leader | Maureen |
| When did you join Christ Embassy? | 2022 |
| Where? | Iwofe, Rumuolumeni |
| When did you get born again? | 2022 |
| Where? | CE Phronesis Church |
| Are you filled with the Holy Spirit? | Yes |
| When and Where? | 2022, CE Phronesis Church |
| Have you been baptized by immersion? | Yes |
| When and Where? | 2022 |
| Have you completed your Foundation School? | Yes |
| When and Where? | 2023 |
| Your designation in Church? | Asst |
| Are you a partner in Church? | Yes |
| Which Partnership are you? | Healing Stream |
| PCF Leader's Recommendation | She is good and upright |
| SECTION D: UPLOAD YOUR DOCUMENTS | |
| Photocopy of Marriage Certificate | VIVISUALS-8336.JPG |
| Photocopy of Foundation School Certificate | IMG-20251003-WA0017.jpg |
| Photocopy of Baptismal Certificate | IMG-20251003-WA0018.jpg |
| Passport Photography of Father |  |
| Passport Photography of Mother |  |