Pre-Marital Counselling Registration – Christ Cosmopolitan Inc

Pre-Marital Counselling Form

Registration Code

Personal Details

Name

Date of Birth

Age

Gender

Phone Number

Email (preferably Gmail)

Tribe

Hometown

Educational Background

Last school attended

Completion date

Academic qualification

State academic qualification

Employment Details

Occupation

Place of work

Rank/Status/Position

Residence

Residential Address

Residential Address/House Number/Digital Address

City/Town

Region/State/Province

Country

Do you own your own accommodation?

Do you live in a rented apartment?

Parents/Guardians

Select parents/guardian information to provide

Parents’ Details

Father’s name

Father’s occupation

Mother’s name

Mother’s occupation

Parents’ Residential Address

Residential Address/House Number/Digital Address

City/Town

Region/State/Province

Country

Guardian Info

Guardian’s name

Guardian’s occupation

Guardian’s Residential Address

Residential Address/House Number/Digital Address

City/Town

Region/State/Province

Country

Previous Marital Experience

Have you been married before?

Name of former spouse

Duration of marriage

Where did you have your wedding ceremony?

State name of church

Are you two separated, divorced or your spouse is deceased?

What caused it?

Did you have children with your spouse?

How many children did you have?

With whom is the child staying?

Do you care for the child?

With whom are they staying?

Do you care for the children?

Marriage Proposal

Have you proposed marriage to someone before and/or vice versa?

What happened?

Previous Relationships

Have you had a boyfriend before?

Have you had a girlfriend before?

How many?

How long did you date in the previous relationships? (breakdown)

Have you had sex before?

Did you marry your sex partner?

Explain the cause of the separation

Well-Being

In this section, kindly use the numbering made available to you in the text box to enumerate your points.

List five qualities you have.

List five qualities your beloved has.

List five qualities you expect from your beloved.

List five things you like about yourself.

List five things you like about your beloved.

List five things you dislike about your beloved and state why.

If you are to change two things about yourself, what would you change?

How do you plan to make yourself a better person?

How do you plan to make your beloved a better person?

Health

Have you ever smoked?

Reason

Have you ever used hard drugs?

Reason

Do you have any chronic disease?

State the disease

Are you prepared to undergo medical examination including HIV/AIDS and HEPATITIS B?

Reason

Marriage

What is marriage?

What are your reasons for wanting to get married?

What is the name of the one you want to marry?

Why do you want to marry her?

Why do you want to marry him?

How long have you known each other?

How long have you been going out?

Has any formal introduction of your relationship been made to the network pastor?

Has formal introduction of your relationship been made to both parents?

Have both parents consented to your marriage?

Are you ready to marry within 4 to 6 months from now should you pass your counselling requirements?

Explain how you happened to meet each other and proposed love.

What does the bible say about marriage?

Which type of marriage do you want to contract?

Do you have any siblings?

How many of them are married?

Spiritual Foundation

Have you accepted Jesus as your Lord and personal saviour?

When?

Name of church

Date of baptism

Place of baptism

Baptized by whom?

What is the name of your current pastor?

How long have you been a member of the church?

Where would you want your marriage to be blessed?

State church name

Conclusion

HAVE YOU MADE YOUR RELATIONSHIP KNOWN TO PASTOR OBED?

HAVE YOU SUBMITTED YOUR RELATIONSHIP TO PASTOR OBED AND PASTOR BRENDA?

I agree that every piece of information I have submitted in this form is accurate.