GAGHÁ Membership Registration Form

Become a member and Partner of Global Assembly for Gospel Harbingers Inc. (GAGHÁ)

Title

Name *

First

Last

Email *

Phone No.

WhatsApp No. Preferred

Residential Address

Country of Residence

Permanent Home Address

Municipal/L.G.A

State/Province/District

Country of Origin

Gender/SexselectMaleFemale

Age

Marital Status

• Single
• Married
• Divorced
• Widow(er)
• Separated

by of Church/Ministry

Highest Academic Qualification

Institution Attended

Year of Graduation

Are you Genuinely Born Again?

• Yes
• No
• Not Sure

If 'YES' what Year?

Briefly narrate your conversion encounter

Are you Baptized by immersion?

• Yes
• No
• Not Sure

If 'YES' where? and what Year?

Have you been ordained/consecrated into the ministry?

• Yes
• No
• Not Sure

If 'YES' where? and what Year?

Are you currently Pasturing a church?

• Yes
• No

If 'YES' What is the name of the Church?

Name of Church/Ministry where you currently worship?

Where is it located?

What is your current position in the above mentioned Church/Ministry?

How did you know about GAGHA?

Briefly state your conviction for joining GAGHA

Name of Next of Kin?

Relationship with the next of kin?

Phone No. of next of kin?

WhatsApp No. preferred

Submit