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Personal Family Questionnaire

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NOTE: Your submission will only be processed after the confirmation of course registration and payment

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1
PERSONAL BIO-DATA
2
PARTNER DETAILS
3
PREVIOUS RELATIONSHIP INFO
4
FAMILY CONSENT

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*Full Name

*Enter Country

*Highest Level of Education

*Present Place of Resident

*Email

*State

*Present Job/Vocation

*Are You Responsible For the Rent?

*Phone Number

*Home Town

*Name of Next of Kin

*Your Salary Range

*Date of Birth

*Tribe

*Next of Kin Phone Number

*Upload Your Passport (jpeg or png ONLY)

jpg,jpeg,png

*Denomination

*Are You Born Again?

*Are You Filled With the HolySpirit?

*Full Name of Fiancé/Fiancée

*Email

*Phone Number

*Upload Your Passport (jpeg or png ONLY)

jpg,jpeg,png

*Have You Been Married Before?

Yes

NO

If Yes, Which Best Describes You Now?

How Long Was Your Last Relationship (if you had one)?

*When Did You And Your Fiancé Meet?

*When Did You Start Courtship?

*Do your Parents Approve of Your Relationship?

Yes

No

Not Sure

*Have Both Families Discussed Your Intentions To Marry?

Yes

No

*Has Dowry/Bride Price Been Paid?

Yes

No

*Which Marriage Ceremony Are You Planning For?

*Have You Set a Wedding Date?

Yes

No

We however do not encourage you to set a Date for your wedding before the MPC. Doing so may presume on the process

*Is Your Partner In Agreement That You Should Take Your Relationship A Step Further By Attending The Marriage Preparatory Class?

Yes

No

Not Sure

*Are You In Agreement With Your Partner That You Should Take Your Relationship A Step Further By Attending The MPC?

Yes

No

Not Sure

Upload scan copy from a certified hospital or lab ONLY

*Upload Your Blood Group | Genotype | Blood Type | Hepatitis B | Rhesus Factor | HIV

doc,docx,pdf,ppt,pptx

*“I commit to actively participate in and complete each module of MPC counseling sessions and to carefully work through assignments. I also commit to honor God, my partner and our relationship by not having sexual intercourse from now until we are married.”

Yes

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