GLA Lagos (HQ) - MARRIAGE COUNSELLING FORM

Marriage Counselling

Type of Courselling Required

Pre-Marital Counselling

Marriage Counselling

First Applicant's Details

First Name

Last Name

Email

Phone Number

Date of birth

Gender

Male

Female

Are You Born Again?

Yes

No

How long have you been born again?

Are You A Member of GLA?

Yes

No

How long have you been A Member?

Do You Currently Serve In Any Ministry / Department In GLA?

Yes

No

Please Indicate Area of Service

Applicant 2

First Name

Last Name

Email

Phone Number

Date of birth