DATA FORM
   
                     
Names in Full   Surname  
    Firstname  
    Middlename  
Date of Birth   Day Month Year      
Place of Birth   Town/Village  
    L.G.A.  
    State  
Home Town      
    L.G.A.  
    State  
Nationality      
Ethnic Group      
Language(s)      
       
       
       
Permanent Home Address      
       
Present Address
(Residence)		      
       
Postal Address      
       
E-mail address      
Place of Service   Town/Village  
    L.G.A.  
    State  
    Association  
    Conference  
Baptism
Day Month Year
     
    Church  
    Minister  
Ordination Day Month Year   Date  
    Church  
Marriage Day Month Year   Date  
    Place  
    Spouse's Maiden Name
    Spouse's Employment
    Spouse's Address
       
Child 1   Full Name
  Day Month Year   Date of Birth
Child 2   Full Name
  Day Month Year   Date of Birth
Child 3   Full Name
  Day Month Year   Date of Birth
Child 4   Full Name
  Day Month Year   Date of Birth
Child 5   Name
  Day Month Year   Date of Birth
Next of Kin   Name
    Address
       
    Phone Number