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Letter of Introduction/Reference

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Letter of Introduction/Reference

APPLICATION FORM FOR LETTER OF INTRODUCTION/REFERENCE.

"*" indicates required fields

NAME*

PHONE NUMBER*

MARITAL STATUS*

HOME ADDRESS*

MAIL ADDRESS*

PURPOSE*

MARRIAGE

SCHOOL

WORK

OTHER

PLEASE STATE REASON*

NAME OF SCHOOL*

NAME OF COMPANY*

COMPANY ADDRESS*

NAME OF CHURCH*

ADDRESS OF CHURCH*

RECIPIENT NAME*

ARE YOU A MEMBER OF DCC?*

YES

NO

CENTRE:*

WHEN DID YOU JOIN DCC?*

IN WHAT CAPACITY DO YOU SERVE?*

DEPARTMENT*

HAVE YOU COMPLETED THE FOLLOWING?

MEMBERSHIP CLASS

DISCOVERY SCHOOL

PRAYER SCHOOL

THE JOURNEY

ATTACH PASSPORT PHOTOGRAPH*

Accepted file types: jpg, gif, png, pdf, jpeg, Max. file size: 16 MB.

HOD (Full Name)*

HOD PHONE NUMBER*

HOD CONSENT*

AGREE

DISAGREE

SHEPHERD (Full Name)*

SHEPHERD PHONE NUMBER*

SHEPHERD CONSENT*

AGREE

DISAGREE

MINISTER'S (Full Name)*

MINISTER'S PHONE NUMBER*

MINISTER'S CONSENT*

AGREE

DISAGREE

PASTOR'S (Full Name)*

PASTOR'S PHONE NUMBER*

PASTOR'S CONSENT*

AGREE

DISAGREE

SENIOR PASTOR'S (Full Name)*

SENIOR PASTOR'S PHONE NUMBER*

SENIOR PASTOR'S CONSENT*

AGREE

DISAGREE

I certify that the information provided above by me is true.*

yes