Victory
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Spiritual Guidance
Accomplish the form. Write N/A if the question is not applicable.
Requestor's Name
Requestor's Email Address
Requestor's Mobile Number
Are you a Victory Member?
No
Yes
If Yes, How long?
Which worship service do you attend?
11:00 AM
2:00 PM
4:00 PM
None
Who is your Victory Group Leader?
Personal Information
Landline
Occupation
Age
Father's Name
Age
Mothers's Name
Age
Sibling's Ages
Contact Person Incase of Emergency
Name
Mobile Number
Was this the first request?
No
Yes
Concern:
Family Problem
Financial Problem
Spiritual Problem
Career Advancement
Legal Issues
Healing for the Sick
Mental Health
Others
If Others (Please specify)
What is the nature of the concern?
Describe the current situation?
Preferred Date
Preferred Time
Preferred Minister
JayR Estrada
Jay-r Ramirez
Fidel Kakilala
Jake Olisa
Roy Diaz
Lennon Almoroto
The information you provide will be treated with utmost respect and confidentiality. Victory follows general principles and rules of data privacy protection in the Philippines. For more information, visit victory.org.ph/privacy
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