GIPEC : Gipec College of Chaplains Inc.

Gipec Chaplaincy Corps

Please complete this Form

Personal Data

Choose Passport

Title

Surname

Othername

Contact Address

Email

Phone Number

DOB (Date Of Birth)

LGA

State Of Origin

Natonality

Marital Status

Suit Dimension

Male Female

Registration & ID Card: N3,500

Sign and apply signature

i accept this offer with honour of chaplain, Gipec Chaplaincy Corps

Signature