Pastoral Request (Lighters)
Please fill out this form and click submit.
Date
*
*
Please select one option.
Counselling (Pastoral)
Home/Office Blessing
Wedding Solemnisation (At least 6 months before)
Select Option
Counselling (Pastoral)
Home/Office Blessing
Wedding Solemnisation (At least 6 months before)
Please elaborate on your request
*
Your Particulars
Full Name (As per NRIC/ Passport)
*
Gender
*
Please select one option.
Male
Female
Age
*
Please select one option.
12 & below
13-18
19-35
36-50
51-65
66 & above
Select Option
12 & below
13-18
19-35
36-50
51-65
66 & above
Phone
*
Email
*
This address will receive a confirmation email
Area of residence
*
Please select one option.
(North) Woodlands/ Kranji/ Sembawang
(North) Yishun/ Seletar
(North) Ang Mo Kio/ Bishan/ Toa Payoh
(North) Lim Chu Kang/ Choa Chu Kang
(North East) Sengkang/ Punggol
(North East) Serangoon/ Hougang
(South/ Central) Bukit Merah
(Central) Outram/ Lavender
(Central/ East) Kallang/ Dakota
(East) Tampines
(East) Bedok/ Paya Lebar
(East) Changi/ Pasir Ris
(East) Geylang/ Marine Parade
(West) Jurong/ Bukit Batok/ Bukit Panjang
(West) Clementi/ Bukit Timah
(West) Queenstown/ Tanglin
Others- please fill in your address below
Select Option
(North) Woodlands/ Kranji/ Sembawang
(North) Yishun/ Seletar
(North) Ang Mo Kio/ Bishan/ Toa Payoh
(North) Lim Chu Kang/ Choa Chu Kang
(North East) Sengkang/ Punggol
(North East) Serangoon/ Hougang
(South/ Central) Bukit Merah
(Central) Outram/ Lavender
(Central/ East) Kallang/ Dakota
(East) Tampines
(East) Bedok/ Paya Lebar
(East) Changi/ Pasir Ris
(East) Geylang/ Marine Parade
(West) Jurong/ Bukit Batok/ Bukit Panjang
(West) Clementi/ Bukit Timah
(West) Queenstown/ Tanglin
Others- please fill in your address below
Address
--
Singapore
Which church location do you worship at?
*
Please select one option.
LE Tampines
LE Woodlands
Which church service do you attend?
Please select one option.
Sunday Service, 9am
Sunday Service, 11.30am
Miracle Service, Sat, 7pm
Speedlight (Youth) Service, Every 1st three Sundays of the month, 10am
Others (Please specify in remarks)
Remarks
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