If you attend a church please provide details

Church Reference Form handed to

(Please Note: There will be two separate forms at the end of this process to be handed to a friend and a church leader

Please state the full names of the Pastor / Minister /Church leader you will give the Church Reference form to):

Please indicate the Address (of the church leader whom you will give the reference form to):

Enter Address Line 1 and Address Line 2
eg
Apartment no. 6
Milwalk Street

City/Town

(of the Church leader)

Post Code

(of the Church leader)

Country

(of the Church leader)

How often do you attend church?

Are you an ordained minister?

Do you believe the Bible is the inspired word of God and the only infallible guide in matters relating to conduct and doctrine?

Do you believe in the Holy Trinity – God is One, but in Three Persons;
Father, the Son and the Holy Spirit?

Do you believe in the Deity of our Lord Jesus Christ, that He is God made flesh and He is the only mediator between God and man?

Date you were saved (DD/MM/YY)