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Global Friendship Network Membership Form
(This form serves both for CENTRE FOR WORLD REBIRTH and
GLOFRINET)
GLOBAL FRIENDSHIP NETWORK (GLOFRINET)
A PROJECT OF APIRIKANHIN INCORPORATED MINISTRIES (A.I.M.)
A.K.A. CENTRE FOR WORLD REBIRTH
For the global network of Churches, Schools, Ministries, Businesses, Families
and Individuals
OFFICE: #7th Floor J.D. gomwalk House JOS, PLATEAU STATE OF NIGERIA, WEST
AFRICA.
MEMBERSHIP APPLICATION FORM
Please provide all information requested and mail to: Box 1229 Jos, Plateau
State, Nigeria. Or E-mail to
clob1512@yahoo.com or
centreforworldrebirth@yahoo.com
info@drgenesis.com
NAME
.TITLE:
.
ADDRESS:
..
.
CITY:
STATE:
COUNTRY
.
ZIP CODE
..TELEPHONE (O)
.(H)
SPOUSES NAME (IF ANY PLEASE INDICATE)
.
ORDINATION DATE :
ORDAINING ORGANISATION
.
CHURCH, BUSINESS OR INDIVIDUAL INFORMATION
NAME:
.
AFFILIATES:
.
ADDRESS:
.
CITY:
STATE:
. COUNTRY:
...
ZIP CODE:
TELEPHONE:
FAX:
..
E-MAIL ADDRESS:
HTTP://WWW.________________________________________________________
2 (TWO) REFERENCES ( FRIENDSHIPS OF THREE OR MORE YEARS)
NAME:
RELATIONSHIP
.
ADDRESS:
..
CITY:
.STATE:
..COUNTRY
TELEPHONE:(O)
.FAX:
.
E-MAIL:
..HTTP://WWW
************************************************************************
NAME:
RELATIONSHIP
.
ADDRESS:
..
CITY:
.STATE:
..COUNTRY
TELEPHONE:(O)
.FAX:
.
E-MAIL:
..HTTP://WWW
I HEREBY CONFIRM THAT I HAVE READ THE CONSTITUTION
OF A.I.M. CENTRE FOR WORLD
REBIRTH AND UNDERSTAND THE PURPOSE AND COMMITMENT OF THE ORGANISATION. BY
SIGNING THIS STATEMENT I AM INDICATING MY DESIRE TO BECOME A MEMBER .
SIGNED:
DATE:
.
APOSTLE GENESIS A. DAWUDA
ADMINISTRATOR/PRESIDENT
PHONE:+2348028063695
www.drgenesis.com
Partner:OurChurch.com Florida, USA
In Communion with Yeshua International UK
International Branch of the lion of Judah, USA