BABY DEDICATION FORMS

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SECTION A: CHILD / WEDDING DETAILS
Date of Child's Birth12/04/2025
Sex of ChildFemale
Child's NameRAZIELA WILLIAM
Date of Parent's Wedding16/12/2023
Nature of Parent's WeddingCHURCH WEDDING
Where?ASSEMBLIES OF GOD CHURCH, EKETE WATERSIDE DELTA STATE
SECTION B: FATHER’S PROFILE
Name of FatherEBINUM CHIKA, WILLIAM
Home AddressNO 1, CHIEF WILCOX STREET, OFF ODANI ROAD, ELELENWO
SAME AS ABOVE
PORT HARCOURT, RIVERS
Nigeria
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OccupationMWD FIELD ENGINEER
Occupational AddressOPERATIONS OFFICE 2, CHIEF NWUKE ROAD, TRANS AMADI INDUSTRIAL LAYOUT, PORT HARCOURT, RIVERS, NIGERIA.
OPERATIONS OFFICE 2, CHIEF NWUKE ROAD, TRANS AMADI INDUSTRIAL LAYOUT, PORT HARCOURT, RIVERS, NIGERIA.
PORT HARCOURT, RIVERS
Nigeria
Map It
Phone Number08033113704
EmailEmail hidden; Javascript is required.
Name of PCFMIMSHAK HAVEN
Name of PCF LeaderGOVERNOR FRANCIS DOGIYE ESENDU
Name of Cell LeaderMR CHRIS UANTIOJE
When did you join Christ Embassy?YEAR 2009
Where?PORT HARCOURT
When did you get born again?2004
Where?REDEEMED CHRISTIAN FELLOWSHIP OGUN STATE
Are you filled with the Holy Spirit?Yes
When and Where?2005,REDEEMED CHRISTIAN FELLOWSHIP STATE
Have you been baptized by immersion?Yes
When and Where?2013, ASSEMBLIES OF GOD CHURCH, DELTA STATE
Have you completed your Foundation School?Yes
When and Where?2016, CHRIST EMBASSY CC1
Your designation in Church?BIBLE CLASS TEACHER
Are you a partner in Church?YES
Which Partnership are you?ROR, HEALING STREAMS, MINISTRY PROGRAM
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 MotherEBINUM RACHAEL, OMOYE
Home AddressNO 1, CHIEF WILCOX STREET,OFF ODANI ROAD, ELELENWO
SAME AS ABOVE
PORT HARCOURT, RIVERS
Nigeria
Map It
OccupationSELF EMPLOYED
Occupational AddressNO 1, CHIEF WILCOX STREET,OFF ODANI ROAD, ELELENWO
SAME AS ABOVE
PORT HARCOURT, RIVERS
Nigeria
Map It
Phone Number08160146705
EmailEmail hidden; Javascript is required.
Name of PCFPROFESSIONAL WOMEN NATION
Name of PCF LeaderMRS ROSELYN NWEZI
Name of Cell LeaderMRS ROSELYN NWEZI
When did you join Christ Embassy?YEAR 2022
Where?BELIEVERS LOVEWORLD, UNIBEN ZONE J
When did you get born again?YEAR 2010
Where?ASSEMBLIES OF GOD CHURCH, LAGOS DISTRICT.
Are you filled with the Holy Spirit?Yes
When and Where?YEAR 2019, COMPELLERS CAMPUS FELLOWSHIP, UNIBEN
Have you been baptized by immersion?Yes
When and Where?YEAR 2023, BELIEVERS LOVEWORLD, UNIBEN ZONE J
Have you completed your Foundation School?Yes
When and Where?YEAR 2023, BELIEVERS LOVEWORLD, UNIBEN ZONE J
Your designation in Church?CHORISTER
Are you a partner in Church?YES
Which Partnership are you?ROR, HEALING STREAMS, CHILDREN MINISTRY.
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 for her baby's dedication

SECTION D: UPLOAD YOUR DOCUMENTS
Photocopy of Marriage Certificatepdf_Mrg-certf.pdf
Photocopy of Foundation School CertificateIMG-20250721-WA0077.jpg
Photocopy of Baptismal CertificateTo-whom-it-may-concern.pdf
Passport Photography of FatherPassport Photography of Father
Passport Photography of MotherPassport Photography of Mother