ICABASM APPLICATION FORM

Full Name *

House Address *

Local Government/Province

State *

Country *

Email *

Telephone/WhatsApp Number *

Date of Birth *

Gender

Marital Status

Ordination Applied for *

Please tick as appropriate

Your Present Spiritual Status *

Please tick as appropriate

Highest Theological Certificate *

Please tick as appropriate

Mode of Ordination *

Please tick as appropriate

Name of your Church

Church Address

Area of Calling

Current Church Responsibility

Your goal for this Ordination *

Any other information you wish to let us know

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