Our Membership Applications

Membership

Basic Details

First Name

Surname

Other Names

Date Of Birth

Gender

Please select one: Female Male

Contact Details

Phone Number

Alternative Phone Number

Postal Address

Postal Code

City

Country

Email

Church, Ministry or Organization Information

Church Name

Postal Address

Postal Code

City

Country

Church Website

Church Phone Number

Affilliation

Are You affiliated to any organisation? Please select one: Yes No

Organisation Name

Purpose in the Organisation

Role In the organisation

Please select one: Leader Member

What was your leadership Title/Designation

Additional Infomation

Please identify which of the Five Fold Ministries you operate in or desire to operate in?

Please select one: Pastor Teacher Evangelist Apostle Prophet

What position do you hold in ministry?

Please select one: Pastor Assistant Pastor Minister Other

If Other Please spesify

Are you Ordained

Please select one: Yes No

When were you Ordained

Name of organisation that you are Ordained.

If No, do you desire for ANP&W to ordain or license you?

Please select one: Yes No

If pastor, how long have you held this office

How long have you been pastor/assistant pastor at this ministry?

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