<label> Surname (required)     
[text* surname] </label>
<label> Other Names (required)     
[text* other-names] </label>
<label> State of Origin (required)     
[text* state-of-origin] </label>
<label> LGA (required)
    [text* lga] </label>
<label> Residential Address (required)
    [text* address] </label>
<label> Phone Number (required)
    [text* phone] </label>
<label> Mobile Number
    [text* mobile] </label>
<label> Whatsapp Number
    [text* whatsapp] </label>
<label> Your Email
    [email* your-email] </label>
<label> Occupation
    [text* occupation ] </label>
<label> Parish/Congregation (required)
    [text* parish ] </label>
<label> Presbytery (required)
    [text* presbytery ] </label>
<label> Synod 
[select synod "Akwa" "Calabar" "East" "East Central" "Mid-East" "Niger Delta" "North" "South Central" "Upper Cross River" "West"]
</label>
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