ICCA Form

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Name
Gender
Marital Status
CCC – Cadet Christian Chaplain
APC – Associate Professional Chaplain
MPC – Member Professional Chaplain
FPC – Fellow Professional Chaplain
HPC – Honourary Professional Chaplain
How did you want to receive lecture
Write your full name in CAPITAL letters
Attestation
I promise to abide by the rules and regulations guiding my fellowship and collaboration with ICCA. I promise to display a very high sense of responsibility. I agree that my certificate can be withdrawn at any point in time if I am found wanting in speech and character.