HML Booking – Offline – Christ Cosmopolitan Inc

HML Offline

Select HML type

Was the booking made for a child or an adult?

HML category

Booking date

HML – Child

Some description about this section

Enter the number of children to receive ministration

State the child’s name

Select the age range of the child

Kindly use numbers to enter the names of the children

Select age range(s) of the children

Corresponding phone number

Corresponding email address

Corresponding Address

Postal address/Digital address/House number/Street address

City/Town

State/Region/Province

Country

Upload an image of the child

Choose File

Upload image(s) of the children

Choose File

Issues (Kindly use bullets and numbers to state at most four issues)

HML – Single

Kindly provide the required information in this section

First Name

Last Name

Age range

Gender

Phone Number

Upload a photo

Choose File

Upload national ID (Driver’s License, Passport, Ghana Card)

Choose File

Were children brought along for ministration?

State number of children

Select the age range of the child

Select the age ranges of children

Kindly use bullets and numbers to list at most four issues of the children.

Address

Postal address/Digital address/House number/Street address

City/Town

State/Region/Province

Country

Issues (Kindly use bullets and numbers to state at most four issues)

HML Couple

Kindly provide the required information in this section

First individual’s full name

First individual’s gender

First individual’s age range

First individual’s photo

Choose File

First individual’s national ID (Ghana Card, Voter’s ID, Driver’s License)

Choose File

Second individual’s full name

Second individual’s gender

Second individual’s age range

Second individual’s photo

Choose File

Second individual’s national ID (Ghana Card, Voter’s ID, Driver’s License)

Choose File

Corresponding phone number

Corresponding email address

Address

Postal address/Digital address/House number/Street address

City/Town

State/Region/Province

Country

Were children brought along for ministration?

State number of children

Select the age range of the child

Select the age ranges of the children

Kindly use bullets and numbers to list at most four issues of the children

First individual’s issues (Kindly use bullets and numbers to state at most four issues)

Second individual’s issues (Kindly use bullets and numbers to state at most four issues)

Accommodation

Kindly provide the required information in this section

Were accommodation arrangements made?

How much was paid for accommodation (GH¢)

Testimony

Is there any miracle or testimony the guest has received by following the ministry of the man of God, Pastor Obed?

Kindly share it with us. (You may use bullets/numbering if need be)

One-Time Partnership seed (OTPs)

Kindly note that the amount you are giving (aside from Accommodation costs) is in support of Cosmopolitan TV, the television ministry of Christ Cosmopolitan Incorporated.

HML – Single Total Amount Expected (GH¢)

HML Single Difference

HML – Single Total Seed Amount Paid (GH¢)

HML – Couple Total Amount Expected (GH¢)

HML Couple Difference

HML – Couple Total Seed Amount Paid (GH¢)

HML – Child Total Amount Expected (GH¢)

HML Child Difference

HML – Child Total Seed Amount Paid (GH¢)

Reason for the difference in amounts

Mode(s) of payment

Cash

Mobile Money

Bank

Select bank payment type

E-bank transfer made to

Paying Account Details

Mobile Money number

Mobile Money transaction ID

Mobile Money name

Bank name

Account number

Account name

Beneficiary Account Details

Select Mobile Money number

Amount received – Mobile Money (GH¢)

Mobile Money name

Mobile Money account name

Select bank

Amount received – Bank (GH¢)

Account name

Account number

Account name

Account number

Cash Received by

Amount received – Cash (GH¢)

Paid in by

Cheque number

Total amount received (GH¢)