Reporting – UKCCM

Monthly Reporting

Report Month & Year

Ministerial File Number *

Ministerial Rank *

Full Name *

Email *

Phone *

Address *

Address Line 1

Address Line 2

City

State / Province / Region

Zip / Postal Code

Country

Membership *

Has your address above, changed since your last report ? *

Evangelising

Pastoring *

Other

Are you retired or disabled ?

If you are a full time student, please enter the name of your school / university.

Number of Pastoral Visits *

Number of sermons preached *

Number of Decisions/Converts *

Number of Hospital Visits *

Number Restoration *

Number Prison Visits *

Number Baptised by the Holy Ghost *

Number of Lectures *

Number Baptised in Water *

Number added to Church (New) *

Number added to Church (by transfer) *

Number of New churches organised this month. *

Date organised / Church Name

Tithes into the local Church Treasury

Tithes sent to H.Q.

Total Tithing amount. *

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