THE CHRISTIAN AND MISSIONARY ALLIANCE

CHURCHES OF THE PHILIPPINES (CAMACOP)

CERTIFICATE OF BAPTISM
Individual Membership Form B

The certificate of Baptism is hereby granted to CRYSTAL SHANE LAGO AMOTO for
undergoing the rite of water Baptism in the name of the Father, the Son and the Holy Spirit, after a satisfactory
affirmation of faith in Jesus Christ as Savior, Sanctifier, Healer, and Coming King under the administration of this
Denomination.
Pertinent information are as follows:
a.) DATE OF BAPTISM: September 15, 2019 b.) OFFICIATING OFFICER: Rev. Carlos G. Billones Jr.

c.) PLACE OF BAPTISM: NRC2, Mabuhay, General Santos City

d.) LOCAL CHURCH SPONSORING: HABITAT CHRISTIAN BIBLE FELLOWSHIP

Hereunder are the personal information on the baptize:

a.) DATE OF BIRTH: July 31, 2000 b.) SEX: Female c.) TYPE OF BIRTH: Single

d.) PLACE OF BIRTH: Habitat, Mabuhay General Santos City

e.) NUMBER OF SIBLINGS: 7 f.) BIRTH ORDER: Fourth

g.) FATHER’S NAME: Marcelino Figueroa Amoto Jr.

h.) FATHER’S RELIGION: Roman Catholic i.) FATHER’S OCCUPATION: Farmer

j.) FATHER’S LONGEST RESIDENCE:

k.) FATHER’S CITIZENSHIP: Filipino
Malaybalay City, Bukidnon
l.) MOTHER’S MAIDEN NAME: Rosemarie Gagno Lago m.) MOTHER’S CITIZENSHIP: Filipino

n.) MOTHER’S OCCUPATION: Teacher o.) MOTHER’S RELIGION: Roman Catholic

p.) MOTHER’S LONGEST RESIDENCE: Malaybalay City, Bukidnon

q.) PARENT’S DATE & PLACE OF MARRIAGE: August 20, 1994- Musuan, Maramag, Bukidnon

r.) STATUS OF PARENT’S MARRIAGE: Married s.) BAPTIZEE’S CIVIL STATUS: Single

t.) BAPTIZEE’S EDUCATIONAL ATTAINMENT: Senior High School

u.) BAPTIZEE’S OCCUPATION: N/A v.) BAPTIZEE’S SPOUSE IF MARRIED: N/A

Issued this 15th day of September, year 2019 in the office of the Senior Pastor of the sponsoring local church which
is Habitat Christian Bible Fellowship located in Habitat Phase A, General Santos City.

Witnesses:

Kris Gay Facurib Jaime Flores REV. CARLOS GLORIANE BILLONES JR.
HCBF Minister