Shepherd's Revival Camp
2023
Maharashtra
October 4 - 6
Venue :
Tabernacle of God, Nalumavadi
Registration Form
Pastor's Conference - Maharastra
Title
*
Pr.
Mrs.
Rev.
Fr.
Full Name
*
Your Designation
*
select designation
Pastor
Associate Pastor
Father
Reverend
Bishop
Email
Date of Birth
*
Mobile No
*
Whatsapp No
Is your spouse accompanying you to attend the Camp?
Yes
No
Spouse Detail
Title
*
Mrs.
Mr.
Spouse Name
*
Mobile No
*
Address for communication
Address line 1
*
Address line 2
Address line 3
Pincode
*
State/Union
Andaman & Nicobar Islands
Andhra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra&Ngr Haveli&Daman&Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu and Kashmir
Jharkhand
Karnataka
Kerala
Ladakh
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Rajasthan
Sikkim
Tamil Nadu
Telangana
Tripura
Uttar Pradesh
Uttarakhand
West Bengal
District
*
Church Detail
Church Type
*
Denomination
Independent
Name of the Church
*
Service conducted in
Marathi
Hindi
Tamil
Other
Service conducted in
Note:
(Common dormitory facility only is available)
If you need room facility, kindly contact : +91 6363208419
If you are human, leave this field blank.
Submit
Any Clarification ? Call to +91 90048 82470
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