BABY DEDICATION FORMS
| SECTION A: CHILD / WEDDING DETAILS | |
|---|---|
| Date of Child's Birth | 25/05/2026 |
| Sex of Child | Female |
| Child's Name | CHISORUM RAELYNN WILLIAM |
| Date of Parent's Wedding | 16/12/2023 |
| Nature of Parent's Wedding | CHURCH WEDDING |
| Where? | ASSEMBLIES OF GOD CHURCH WARRI, DELTA STATE |
| SECTION B: FATHER’S PROFILE | |
| Name of Father | EBINUM WILLIAM CHIKA |
| Home Address | NO 3 GOLDEN VALLEY ESTATE, WOJI OFF YKC JUNCTION port harcourt, Rivers Nigeria Map It |
| Occupation | MWD ENGINEER |
| Occupational Address | GEOPLEX DRILLTEQ LTD AT NO 85 RIVOC ROAD OFF TRANS AMADI port harcourt, Rivers Nigeria Map It |
| Phone Number | 08033113704 |
| Email hidden; Javascript is required. | |
| Name of PCF | MIMSHACK HAVEN PCF |
| Name of PCF Leader | GOV FRANCIS DOGIYE ESENDU |
| Name of Cell Leader | BRO CHRISTOPHER UANTIOJE |
| When did you join Christ Embassy? | 2006 |
| Where? | CHRIST EMBASSY PORT HARCOURT ZONE 3 |
| When did you get born again? | 2004 |
| Where? | RCF, OGUN CHARPTER |
| Are you filled with the Holy Spirit? | Yes |
| When and Where? | RCF, OGUN CHARPTER |
| Have you been baptized by immersion? | Yes |
| When and Where? | AGC, WARRI DELTA STATE |
| Have you completed your Foundation School? | Yes |
| When and Where? | CHRIST EMBASSY PORT HARCOURT ZONE 3 |
| Your designation in Church? | BIBLE STUDY CLASS TEACHER |
| Are you a partner in Church? | YES |
| Which Partnership are you? | MINISTRY PROGRAMS, RHAPSODY OF REALITIES AND HEALING SCHOOL |
| PCF Leader's Recommendation | BROTHER CHIKA EBINUM IS A VERY ACTIVE MEMBER OF THE MIMSHACK HAVEN PCF. HE IS VERY INVOLVED WITH THE CELL WORK (SOUL WINNING, PARTNERSHIP). I RECOMMEND HIM FOR HIS BABY'S DEDICATION. |
| SECTION C: MOTHER'S PROFILE | |
| Name of Mother | EBINUM RACHAEL, OMOYE |
| Home Address | NO 3 GOLDEN VALLEY ESTATE, WOJI OFF YKC JUNCTION port harcourt, Rivers Nigeria Map It |
| Occupation | BUSINESSWOMAN |
| Occupational Address | NO 3 GOLDEN VALLEY ESTATE, WOJI OFF YKC JUNCTION port harcourt, Rivers Nigeria Map It |
| Phone Number | 08160146705 |
| Email hidden; Javascript is required. | |
| Name of PCF | PROFESSIONAL WOMEN NATION |
| Name of PCF Leader | NWEZI ROSELYN |
| Name of Cell Leader | NWEZI ROSELYN |
| When did you join Christ Embassy? | 2022 |
| Where? | BELIEVERS LOVEWORLD UNIBEN |
| When did you get born again? | 2010 |
| Where? | ASSEMBLIES OF GOD CHURCH |
| Are you filled with the Holy Spirit? | Yes |
| When and Where? | 2019, COMPELLERS FELLOWSHIP |
| Have you been baptized by immersion? | Yes |
| When and Where? | 2023, BELIEVERS LOVEWORLD UNIBEN |
| Have you completed your Foundation School? | Yes |
| When and Where? | 2023, BELIEVERS LOVEWORLD UNIBEN |
| Your designation in Church? | CHIORISTER |
| Are you a partner in Church? | YES |
| Which Partnership are you? | ROR, MINISTRY PROGRAM |
| PCF Leader's Recommendation | SISTER RACHAEL EBINUM HAS BEEN A COMMITTED MEMBER OF PROFESSIONAL WOMEN NATION PCF AND CELL 2. SHE IS VERY ACTIVE IN CELL ACTIVITIES, INCLUDING SOUL WINNING. I HIGHLY RECOMMEND HER BABY'S DEDICATION. |
| SECTION D: UPLOAD YOUR DOCUMENTS | |
| Photocopy of Marriage Certificate | My-Marriage-Certificate-.pdf |
| Photocopy of Foundation School Certificate | Foundation-school-Cert.jpeg |
| Photocopy of Baptismal Certificate | Baptismal-Cert.pdf |
| Passport Photography of Father |  |
| Passport Photography of Mother |  |