TCA DEDICATION FORM
(Do not submit multiple times for a single registration)
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Date of Dedication *
MM
/
DD
/
YYYY
Name *
Home Address *
Nearest Bus Stop *
Phone Number *
Email
What are you Dedicating? *
Please fill Below, if you are dedicating a Child
“Lo, children are an heritage of the LORD: and the fruit of the womb is his reward” (Psalms 127:3)
Child's First Name *
Child's Second Name *
Child's Other Name(s)
Sex of Child *
Date of Birth *
MM
/
DD
/
YYYY
Mother's Name *
Father's Name
Address of House Fellowship centre *
House Fellowship Leader's Name *
Official remark (To be filled by authorized official only)
Submit
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