BABY DEDICATION FORMS
| SECTION A: CHILD / WEDDING DETAILS | |
|---|---|
| Date of Child's Birth | 14/09/2026 |
| Sex of Child | Female |
| Child's Name | Victory Chukudi |
| Date of Parent's Wedding | 07/07/2024 |
| Nature of Parent's Wedding | Church Wedding |
| Where? | Christ Embassy, Lafia |
| SECTION B: FATHER’S PROFILE | |
| Name of Father | Okenyebunor Henry Azubuike |
| Home Address | NO. 18B Ada-George Road, Port Harcourt Port Harcourt, Rivers State Nigeria Map It |
| Occupation | Oil and Gas |
| Occupational Address | Cawthorne Chanel 2, Rivers State Port Harcourt, Rivers State Nigeria Map It |
| Phone Number | 08063969096 |
| Email hidden; Javascript is required. | |
| Name of PCF | HILLTOP OUTREACH |
| Name of PCF Leader | Bro. Dogulas Odouglas |
| Name of Cell Leader | Bro. Dogulas Odouglas |
| When did you join Christ Embassy? | 2004 |
| Where? | 2004 Christ EmbassyCC1, Port Harcourt |
| When did you get born again? | 2004 |
| Where? | 2004 Christ EmbassyCC1, Port Harcourt |
| Are you filled with the Holy Spirit? | Yes |
| When and Where? | 2004 Christ EmbassyCC1, Port Harcourt |
| Have you been baptized by immersion? | Yes |
| When and Where? | 2004 Christ EmbassyCC1, Port Harcourt |
| Have you completed your Foundation School? | Yes |
| When and Where? | 2004 Christ Embassy Ikeja Envron, Lagos |
| Your designation in Church? | Children Church Teacher |
| Are you a partner in Church? | Yes |
| Which Partnership are you? | Rhpasody of Realities, Mintry Program, Healing School, ETC. |
| PCF Leader's Recommendation | He is a helper in the war and also a helper at the cells and PCF levels |
| SECTION C: MOTHER'S PROFILE | |
| Name of Mother | Henry Imaculate Ashe'sla |
| Home Address | NO. 18B Ada-George Road, Port Harcourt Port Harcourt, Rivers State Nigeria Map It |
| Occupation | Bussiness |
| Occupational Address | NO. 18B Ada-George Road, Port Harcourt Port Harcourt, Rivers State Nigeria Map It |
| Phone Number | 09032941688 |
| Email hidden; Javascript is required. | |
| Name of PCF | HILLTOP OUTREACH |
| Name of PCF Leader | Bro. Dogulas Odouglas |
| Name of Cell Leader | Bro. Dogulas Odouglas |
| When did you join Christ Embassy? | 2006 |
| Where? | 2006 Christ Embassy, Lafia |
| When did you get born again? | 2006 |
| Where? | 2006 Christ Embassy, Lafia |
| Are you filled with the Holy Spirit? | Yes |
| When and Where? | 2006 Christ Embassy, Lafia |
| Have you been baptized by immersion? | Yes |
| When and Where? | 2006 Christ Embassy, Lafia |
| Have you completed your Foundation School? | Yes |
| When and Where? | 2006 Christ Embassy, Lafia |
| Your designation in Church? | Children Church Teacher |
| Are you a partner in Church? | Yes |
| Which Partnership are you? | Rhapsody of Realites, Healing School, Ministry Program ETC. |
| PCF Leader's Recommendation | she is a helper in the cell and PCF levels |
| SECTION D: UPLOAD YOUR DOCUMENTS | |
| Photocopy of Marriage Certificate | marriage-cert.jpg |
| Photocopy of Foundation School Certificate | Foundation-School-Certifica.jpg |
| Photocopy of Baptismal Certificate | Baptismal-Certificate.jpg |
| Passport Photography of Father | ![]() |
| Passport Photography of Mother | ![]() |



