BABY DEDICATION FORMS
| SECTION A: CHILD / WEDDING DETAILS | |
|---|---|
| Date of Child's Birth | 23/05/2026 |
| Sex of Child | Female |
| Child's Name | ADRIELLE ANTONIO O. TARIAH |
| Date of Parent's Wedding | 02/09/2025 |
| Nature of Parent's Wedding | CHURCH WEDDING |
| Where? | CHRIST EMBASSY |
| SECTION B: FATHER’S PROFILE | |
| Name of Father | TARIAH ANTONIO |
| Home Address | No 1 Holiness close, laritel No 1 Holiness close, laritel PORTHARCOURT, Rivers Nigeria Map It |
| Occupation | Staff |
| Occupational Address | Christ Embassy Central church 1, psychiatric road Christ Embassy Central church 1, psychiatric road PORTHARCOURT, Rivers Nigeria Map It |
| Phone Number | 08134243599 |
| Email hidden; Javascript is required. | |
| Name of PCF | Elite |
| Name of PCF Leader | Pastor Ubong uwom |
| Name of Cell Leader | Sister Valerie |
| When did you join Christ Embassy? | Birth |
| Where? | Port harcourt |
| When did you get born again? | 2000 |
| Where? | Port harcourt |
| Are you filled with the Holy Spirit? | Yes |
| When and Where? | 2000 in port harcourt |
| Have you been baptized by immersion? | Yes |
| When and Where? | 2000 in port harcourt |
| Have you completed your Foundation School? | Yes |
| When and Where? | 2000 in port harcourt |
| Your designation in Church? | Bible study class teacher |
| Are you a partner in Church? | Yes |
| Which Partnership are you? | All of them |
| PCF Leader's Recommendation | Ok |
| SECTION C: MOTHER'S PROFILE | |
| Name of Mother | ANTONIO O. TARIAH AGATHA |
| Home Address | HOLINESS CLOSE HOLINESS CLOSE PORTHARCOURT, Rivers Nigeria Map It |
| Occupation | STAFF |
| Occupational Address | AKER ROAD, IWOFE AKER ROAD, IWOFE PORTHARCOURT, RIVERS Nigeria Map It |
| Phone Number | 09037728067 |
| Email hidden; Javascript is required. | |
| Name of PCF | NIL |
| Name of PCF Leader | NIL |
| Name of Cell Leader | AGATHA ANTONIO |
| When did you join Christ Embassy? | 2011 |
| Where? | CHRIST EMBASSY CHIOBA |
| When did you get born again? | 2009 |
| Where? | OFFICE |
| Are you filled with the Holy Spirit? | Yes |
| When and Where? | 2011, CE CHOBA |
| Have you been baptized by immersion? | Yes |
| When and Where? | 2011, CE CHOBA |
| Have you completed your Foundation School? | Yes |
| When and Where? | 2012, CE CHOBA |
| If no. what class are you in now? | NIL |
| Your designation in Church? | LEADER |
| Are you a partner in Church? | YES |
| Which Partnership are you? | ALL PARTNERSHIP |
| PCF Leader's Recommendation | Nil |
| SECTION D: UPLOAD YOUR DOCUMENTS | |
| Photocopy of Marriage Certificate | IMG-20250408-WA0005.jpg |
| Photocopy of Foundation School Certificate | IMG-20250408-WA0006.jpg |
| Photocopy of Baptismal Certificate | IMG-20250408-WA00051.jpg |
| Passport Photography of Father |  |
| Passport Photography of Mother |  |