International Christian Fellowship of Phnon Penh

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ICFPP Directory Update

The ICF Directory is for those living in Cambodia who have associations with the ICF, including those in the provinces who may only get to attend a couple of times a year.

Please fill out the following form and click on the [SUBMIT] button to update our records.
Notice: Required field are in red

EMAIL
Home E-mail:
SELF
Surname/Family:
Given/First Name:
Nationality:
Denomination:
SPOUSE
Surname/Family:
Given/First Name:
Nationality:
Denomination:
CHILDREN - Please indicate all children and schools they attend with those living outside the country in brackets.
HOME DETAILS
House #:
Street #:
District:
City/Village:
# of nearest cross street:
Postal Address:
Home Phone:
Mobile Phone:
FAX Phone:
If you live mostly in one of the provinces, which town and province?
WORK/MINISTRY DETAILS: SELF
Name of Agency/Employer:
Your Position and Role:
House #:
Street #:
District:
City/Village:
# of nearest cross street:
Postal Address:
Phone:
Fax:
Mobile:
Work E-mail:
WORK/MINISTRY DETAILS: SPOUSE
Name of Agency/Employer:
Your Position and Role:
House #:
Street #:
District:
City/Village:
# of nearest cross street:
Postal Address:
Phone:
Fax:
Mobile:
Work E-mail:
Your SECURITY CODE
Security Code

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International Christian Fellowship of Phnom Penh
PO Box 98    Phnom Penh    Cambodia
Telephone: 012-235-182