需求表格 Request Form
表格填妥后，按“Submit"提交表格。Please fill out this form and click submit.
日期 Date
*
个人资料 Your Particulars
姓名（登记 /护照所显示）Full Name (As per NRIC/ Passport; Last name= Surname)
*
性别 Gender
*
Please select one option.
男 Male
女 Female
婚姻状况 Marital Status
Please select one option.
单身 Single
订婚 Engaged
已婚 Married
离婚 Divorced
丧偶 Widowed
分居 Separated
Select Option
单身 Single
订婚 Engaged
已婚 Married
离婚 Divorced
丧偶 Widowed
分居 Separated
年龄层 Age
*
Please select one option.
12岁及以下12 & below
13- 18岁
19- 35岁
36- 50岁
51- 65岁
66岁及以上 66 & above
Select Option
12岁及以下12 & below
13- 18岁
19- 35岁
36- 50岁
51- 65岁
66岁及以上 66 & above
手机联络号码 Mobilephone No.
*
电邮 Email
This address will receive a confirmation email
住址 Address
*
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Singapore
职业 Occupation
交流语言 Language Spoken
*
Please select all that apply.
英语 English
华语 Mandarin
福建 Hokkien
出席会所 LE Centre
*
Please select one option.
淡滨尼会所 LE Tampines
兀兰会所 LE Woodlands
出席聚会 LE Service
Please select one option.
主日上午9点 Sunday 9am Service
主日上午11点30分 Sunday 11.30am Service
神迹佈道会 Miracle Service
青少年英语聚会 Speedlight Service (Youth)
其它 Others (Please specify in remarks)
需求 Request
需求（一般会众） Request (Guests/General Public)
Please select one option.
参加小组 Join a Cell Group
医院探访 Hospital Visitation
代祷需要（当您的祷告被神回应后，请通过“见证表格”与教会分享）Prayer (Please submit testimony form when your prayer is answered)
Select Option
参加小组 Join a Cell Group
医院探访 Hospital Visitation
代祷需要（当您的祷告被神回应后，请通过“见证表格”与教会分享）Prayer (Please submit testimony form when your prayer is answered)
需求（灯塔教会会友）Request (Lighters)
Please select one option.
参加小组 Join a Cell Group
教牧辅导 Counselling (Pastoral)
居家、职场祝福祷告 Home/Office Blessing
医院探访 Hospital Visitation
参与事工服事（请注明哪一个事工）Serve in a Ministry (Please specify in remarks)
代祷需要（当您的祷告被神回应后，请通过“见证表格”与教会分享）Prayer (Please submit testimony form when your prayer is answered)
婚礼仪式（最少6个月前）Wedding Solemnisation (At least 6 months before)
其他（请注明）Others (Please specify in remarks)
Select Option
参加小组 Join a Cell Group
教牧辅导 Counselling (Pastoral)
居家、职场祝福祷告 Home/Office Blessing
医院探访 Hospital Visitation
参与事工服事（请注明哪一个事工）Serve in a Ministry (Please specify in remarks)
代祷需要（当您的祷告被神回应后，请通过“见证表格”与教会分享）Prayer (Please submit testimony form when your prayer is answered)
婚礼仪式（最少6个月前）Wedding Solemnisation (At least 6 months before)
其他（请注明）Others (Please specify in remarks)
备注-请注明您的需求 Remarks - Please elaborate on your request
*
呈交此表格表示我准许灯塔教会在运作和联系时可收集；使用与透露我的个人资料。By submitting this form, I give consent to Lighthouse Evangelism to collect, use and disclose my personal data for purposes of facilitating and communicating with me.
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表格填妥后，按“Submit"提交表格。Please fill out this form and click submit.
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