RCCG STAFF DATA CAPTURE FORM
PERSONAL INFORMATION
Full Time
Part Time
Surname
Other Names
Email
Phone
RCC No (If Applicable)
Date of Birth (dd/mm/yyyy)
Marital Status
Single
Married
Gender
Choose Gender
Male
Female
Address
City/Town
State
Select State
Abia
Abuja
Adamawa
Akwa Ibom
Anambra
Bauchi
Bayelsa
Benue
Borno
Cross River
Delta
Ebonyi
Edo
Ekiti
Enugu
Gombe
Imo
Jigawa
Kaduna
Kano
Katsina
Kebbi
Kogi
Kwara
Lagos
Nassarawa
Niger
Ogun
Ondo
Osun
Oyo
Plateau
Rivers
Sokoto
Taraba
Yobe
Zamfara
Country
Choose Country of Residence
Nigeria
CHURCH INFORMATION
Date of Employment
Staff Status
Select Staff Status
National Staff
Regional Staff
Provincial Staff
Departmental Staff
Grade as at Sep 2020
Select your Grade
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
NOT APPLICABLE
Level as at Sep 2020
Select your Level
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
NOT APPLICABLE
Salary as at Sep 2020 (Before Deductions)
Region
– Select Region –
DEPARTMENT
REGION 1
REGION 2
REGION 3
REGION 4
REGION 5
REGION 6
REGION 7
REGION 8
REGION 9
REGION 10
REGION 11
REGION 12
REGION 13
REGION 14
REGION 15
REGION 16
REGION 17
REGION 18
REGION 19
REGION 20
REGION 21
REGION 22
REGION 23
REGION 24
REGION 25
REGION 26
REGION 27
REGION 28
REGION 29
DEPARTMENT
Province
Select Region First
Zone
Area
Current Parish Name
Current Parish Address
Ordination Status
Select Ordination Status
Brother
Sister
Deacon
Deaconess
Assistant Pastor
Pastor
Full-Time Assignment
- Select Full-Time Assignment -
Ministerial
Non-Ministerial
Designation
- Select Full-Time Assignment First -
DETAILS OF SPOUSE
Mission Staff
Non-Mission Staff
Spouse's Surname
Spouse's Other Names
Spouse's Email
Spouse's Phone
Spouse's Date of Birth
Type of Marriage
Select Type of Marriage
Church
Court
Traditional
Others
Date of Marriage (dd/mm/yyyy)
Spouse's Ordination Status
Select Ordination Status
Brother
Sister
Deacon
Deaconess
Assistant Pastor
Pastor
Spouse's Region
– Select Region –
DEPARTMENT
REGION 1
REGION 2
REGION 3
REGION 4
REGION 5
REGION 6
REGION 7
REGION 8
REGION 9
REGION 10
REGION 11
REGION 12
REGION 13
REGION 14
REGION 15
REGION 16
REGION 17
REGION 18
REGION 19
REGION 20
REGION 21
REGION 22
REGION 23
REGION 24
REGION 25
REGION 26
REGION 27
REGION 28
REGION 29
DEPARTMENT
Spouse's Province
Select Region First
Spouse's RCC Number
Spouse's Place of Work
Spouse's Work Address
Spouse's Job Title
Number of Children
None
1
2
3
4
5
6
1st Child's Full Name
1st Child's Date of Birth
2nd Child's Full Name
2nd Child's Date of Birth
3rd Child's Full Name
3rd Child's Date of Birth
4th Child's Full Name
4th Child's Date of Birth
5th Child's Full Name
5th Child's Date of Birth
6th Child's Full Name
6th Child's Date of Birth
UPLOAD DOCUMENTS
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Edit/Crop the image (if necessary)
Ensure the document fits into the box correctly
Make sure your images are less than 512KB (512 KiloBytes)
UPLOAD PASSPORT PHOTOGRAPH
UPLOAD LETTER OF EMPLOYMENT
UPLOAD SEPTEMBER 2020 PAYSLIP
UPLOAD BIRTH CERTIFICATE / SWORN AFFIDAVIT
UPLOAD MARRIAGE CERTIFICATE
