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Step 1 - Personal Information

Date * Full Name * Phone Number * Email Address * Gender * -- Select Gender -- Male Female Age Group * -- Select Age Group -- 13-15 16-18 19-20 21-25 26-30 31-35 36-40 41-44 45 and above Residential Address *

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Step 2 - Contact & Academic Information

Category * -- Select Category -- Student Nonstudent Corper Staff Retired Ex-student Business man Driver Others Institution -- Select Institution -- Federal Polytechnic Ohodo State University of Medical and Applied Sciences Bishop Shanahan School of Nursing, Nsukka University of Nigeria, Nsukka College of Health Technology, Odenigbo College of Education, Barracks College of Nursing (LAVERA), Ugwuawarawa Federal College to Education, Eha-Amufu Maduka University Abia State University Abubakar Tafawa Balewa University Achievers University, Owo Adamawa State University Adekunle Ajasin University Adeleke University Admiralty University of Nigeria Afe Babalola University African University of Science and Technology Ahmadu Bello University Ajayi Crowther University Akwa Ibom State University Alex Ekwueme Federal University Al-Hikmah University Al-Qalam University Ambrose Alli University American University of Nigeria Anchor University Arthur Jarvis University Atiba University Augustine University Babcock University Bamidele Olumilua University of Education, Science and Technology Bauchi State University Bayero University Kano Baze University Bells University of Technology Benson Idahosa University Benue State University Bingham University Borno State University Bowen University Caleb University Caritas University Chrisland University Christopher University Chukwuemeka Odumegwu Ojukwu University Clifford University Coal City University Covenant University Crawford University Crescent University Crown Hill University Delta State University Dominican University Ebonyi State University Edo State University Uzairue Edwin Clark University Ekiti State University Eko University of Medical and Health Sciences Elizade University Enugu State University of Science and Technology Evangel University Federal University of Agriculture, Abeokuta Federal University of Petroleum Resources Federal University of Technology, Akure Federal University of Technology, Minna Federal University of Technology, Owerri Federal University, Birnin Kebbi Federal University, Dutse Federal University, Dutsin-Ma Federal University, Gashua Federal University, Gusau Federal University, Kashere Federal University, Lafia Federal University, Lokoja Federal University, Otuoke Federal University, Oye-Ekiti Federal University, Wukari Fountain University Glorious Vision University Godfrey Okoye University Gombe State University Gombe State University of Science and Technology Gregory University Hallmark University Hezekiah University Ibrahim Badamasi Babangida University Igbinedion University Ignatius Ajuru University of Education Imo State University Joseph Ayo Babalola University Joseph Sarwuan Tarkaa University Kaduna State University Kano University of Science and Technology Karl Kuum University Kebbi State University of Science and Technology Kings University Kingsley Ozumba Mbadiwe University Kola Daisi University Kwara State University Kwararafa University Ladoke Akintola University of Technology Lagos State University Landmark University Lead City University Legacy University Madonna University Mcpherson University Mewar International University Michael and Cecilia Ibru University Michael Okpara University of Agriculture Modibbo Adama University Mountain Top University Nasarawa State University Niger Delta University Nigerian Maritime University Nile University of Nigeria Nnamdi Azikiwe University Northwest University Novena University Obafemi Awolowo University Obong University Oduduwa University Olabisi Onabanjo University Olusegun Agagu University of Science and Technology Osun State University PAMO University of Medical Sciences Pan-Atlantic University Paul University Peaceland University Plateau State University Precious Cornerstone University Prince Abubakar Audu University Redeemer's University Renaissance University Rhema University Ritman University Rivers State University Salem University Skyline University Nigeria Sokoto State University Southwestern University Spiritan University Nneochi Sule Lamido University Summit University Tai Solarin University of Education Tansian University Taraba State University The Technical University Thomas Adewumi University Umaru Musa Yar'Adua University University of Abuja University of Africa University of Benin University of Calabar University of Cross River State University of Ibadan University of Ilorin University of Jos University of Lagos University of Maiduguri University of Medical Sciences University of Mkar University of Port Harcourt University of Uyo Usmanu Danfodio University Veritas University Wellspring University Wesley University Ondo Western Delta University Yobe State University Zamfara State University Others Department Level

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Step 3 - Church & Spiritual Information

Fellowship / Church Denomination How did you hear about the programme? -- Select One -- Church Announcement / Bulletin WhatsApp Status / Group Chat Social Media (Instagram, Facebook, X, TikTok) Poster / Flyer / Banner Word of Mouth (Friend/Fellowship Member) Campus Evangelism / Publicity Team Others Is there any Deeper life Campus Fellowship in your institution? -- Select One -- No Yes Prayer Request (Optional)

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Step 4 - Additional Information

Hostel Address (For Students) WhatsApp Number Membership Status -- Select Membership Status -- Workers Members New Comer / Visitor

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