Formulir Pendaftaran Pemuridan

Discipleship Registration Form

PERSONAL INFORMATION

Your email address

Full Name

WhatsApp Phone Number

Date of Birth

Gender

Select Core Module

Marital Status

Address

Cukup hanya tuliskan angka saja, tanpa RT/RW, contoh: 002/005.

City

Country

Zip Code

Occupation

ADDITIONAL INFORMATION

Local Church

City of the Local Church

Are you currently serving at your local church?

What is your ministry at your local church?

Who recommend you to join Discipleship?

CONFIRMATION

Persetujuan / Agreement

1. Data yang Anda isi dan serahkan adalah benar, atas persetujuan, dan sepengetahuan Anda;

The data you fill in and submit is correct, with your consent, and to your knowledge;

2. Anda setuju untuk dihubungi oleh tim Kingdom Community Center, baik bagian Pemuridan maupun Administrasi;

You agree to be contacted by the Kingdom Community Center team, both from Discipleship and Administration;

3. Anda setuju untuk Kingdom Community Center menjadwalkan Anda ke dalam kelas Pemuridan;

You agree for Kingdom Community Center to schedule you in a Discipleship class;

4. Anda setuju untuk tunduk pada aturan, syarat dan ketentuan yang berlaku dalam Kingdom Community Center sebagai murid Kristus.

You agree to submit to the rules, terms and conditions that apply at Kingdom Community Center as a disciple of Christ.

Today's date

Pastikan Anda klik tanda 'KIRIM' di bawah untuk menyelesaikan Formulir Pendaftaran ini.
Make sure you click the 'SEND' button below to complete this Registration Form.

Mohon Maaf

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