Application For Admission

APPLICATION FOR ADMISSION

This form must be filled up by the applicant only, or it will not be accepted.

PERSONAL DATA (This is how your name will appear on Student ID, Diploma and all Correspondence)

Full Name: *

Date of Birth: *

Age: *

Present Address: *

Contact Details: *

Marital Status: *

Single Engaged Married Remarried Divorced Widower/Widow Separated

SPIRITUAL DATA

Date of your salvation: *

Have you received the baptism of the Holy Spirit with the evidence of speaking in other tongues according to Acts 2:4?: *

Yes No

Name of the church that you are a member of: *

Pastor’s name and phone No. (List yourself if you are the Pastor):

EDUCATIONAL DATA

Education: *

Under-Matric Post-Matric High School Graduate, Under Graduate Bachelor’s Degree Master’s degree P.H.D.

List any formal Bible training you have had (Seminar, Bible college, Bible course, etc.): *

Write a testimony on how, when and where received Jesus as Personal Savior (in not less than 200 words.): *

Twenty Twenty-Five

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