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BenteSingKOLAR

The Iglesia Unida Ekyumenikal National census campaign in Celebration of the 25th Anniversary and for
the benefit of IUE Scholarship Fund

* Required

1. CONGREGATION *
Mark only one oval.

Alcate
Bishop Moises F. Buzon Memorial Church
Bucayao
Butocan
Caloocan (SPCCC)
Caromatig
Garo
Lias
Malabag
Imus
Rev. Jeremias P. Reyes Memorial Church (San Andres)
San Pablo Bayan
Santiago 2
Sido
Tanay
Toledo
Valenzuela Evangelical Church
Others

2. FULLNAME (Surname, Given name, Middle name)


*

3. NICKNAME *

4. AGE *

5. BIRTHDAY *
 
Example: December 15, 2012
6. CONTACT NUMBER *
Put N/A if no contact number

7. EMAIL ADDRESS *
Put N/A if no email address

8. Kapisanan *
Check all that applies
Check all that apply.

Manggagawa
Kalalakihan
Kababaihan
Kabataan
Koro
Mga bata

Other:

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