Spiritual Life

Have you received Jesus Christ as your Lord and personal Saviour? *

Yes

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If Yes, Please state (Born Again) date.

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Briefly describe how you came to receive Jesus Christ as Lord and personal Saviour. *

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Have you been through the New Life Programme? *

Yes

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Please state in few words why you wish to be baptised. *

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Personal Details

Title *

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Name *

First name *

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Middle name(s)

Surname *

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Email *

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Mobile *

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Address *

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Date Of Birth

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Are you a member of New Wine Church? *

i.e have you attended membership classes and received an official certificate of membership?

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Do you regularly attend or belong to a Cell Group? *

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Are you a member of any Team in New Wine Church? *

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Reference (a worker or leader in New Wine Church)

Title

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Name

First name

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Middle name(s)

Surname

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Mobile

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Thank you for completing the form. Your information will be handled with the utmost confidentiality in accordance with the New Wine Church Privacy Policy, a copy of which is available from the Church Office and our website (www.newwineinternational.com).