Courtship Form

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Family Life Ministries

Marriage Mentoring Programme


Courtship Notification Form
Supervising Counselor Assigned: ..Tel No:..

Brothers
Recent Passport
Date of Birth:.... Age:Blood Group: ...Genotypephotograph here

Brothers Data
1.

Name of Brother: ............................................................................................................

Name of Church:...Date of Salvation Dept./Unit......


If Daystar, have you completed Daystar Academy?........................................................... What Level: .........
Are You Baptized in the Holy Ghost? Yes ( ) No ( ) Dont Know ( ). If Yes, When ..
Home Address:. .......
Occupation: . Tel: ...........E-mail Address................
Office Address:..
Brief Testimony of Marital Conviction.
..
Have you ever been married? ..If yes, give details..
Have you been in any other relationship in the last 6 months? .............................Yes( ) No ( )
Do you have parental consent for this relationship? Yes: (

) No (

) Proposed Wedding Date ..

Name of Zonal Coordinator . ........ Sign. Of zonal Coordinator..


Name of District Pastor.. Sign. Of zonal Pastor.
Declaration: I declare that all information provided above are true to the best of my knowledge

Sisters Recent
Passport
Name of Sister: ............................................................................................................
photograph here
Sisters Data

2.

Date of Birth:.... Age:Blood Group: ...Genotype


Name of Church:...Date of Salvation Dept./Unit......
If Daystar, have you completed Daystar Academy?........................................................... What Level: .........
Are You Baptized in the Holy Ghost? Yes ( ) No ( ) Dont Know ( ). If Yes, When ..
Home Address:. .......
Occupation: . Tel: ...........E-mail Address................
Office Address:..
Brief Testimony of Marital Conviction
.
Have you ever been married? if yes, give details...
Have you been in any other relationship in the last 6 months? Yes ( ) No ( )
0Do you have parental consent for this relationship? Yes: (

) No (

) Proposed Wedding Date ..

Name of Zonal Coordinator ....... Sign. Of zonal Pastor..


Name of District Pastor..... Sign. Of zonal Pastor..
Declaration: I .declare that all information provided above are true to the best of my knowledge.

Note: 15 counseling classes are compulsory and must be attended before the Church can approve the wedding dates.

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