{"id":412,"date":"2018-03-30T05:28:34","date_gmt":"2018-03-30T05:28:34","guid":{"rendered":"http:\/\/rhemaindia.org.in\/rhema\/?page_id=412"},"modified":"2018-04-02T05:50:34","modified_gmt":"2018-04-02T05:50:34","slug":"application-for-admission","status":"publish","type":"page","link":"http:\/\/rhemaindia.org.in\/rhema\/application-for-admission\/","title":{"rendered":"Application For Admission"},"content":{"rendered":"<div class=\"row\">\n<div class=\"col-md-12 text-center\">\n<h2>APPLICATION FOR ADMISSION<\/h2>\n<p class=\"text-center\"><b>This form must be filled up by the applicant only, or it will not be accepted.<\/b><\/p>\n<\/p><\/div>\n<div class=\"col-md-12\">\n<form class=\"form-horizontal\" name=\"appadm\" id=\"appadm\" method=\"POST\" action=\"https:\/\/rhemaindia.org.in\/rhema\/submit_appadm.php\">\n<p class=\"text-justify\" style=\"margin-bottom:15px;\"><b>PERSONAL DATA<\/b> (This is how your name will appear on Student ID, Diploma and all Correspondence)<\/p>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Full Name:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<select id=\"inputState\" name=\"title\" class=\"form-control\" required><option value=\"\">&#8211; SELECT &#8211;<\/option><option value=\"Rev.\">Rev.<\/option><option value=\"Mr.\">Mr.<\/option><option value=\"Mrs.\">Mrs.<\/option><option value=\"Miss.\">Miss.<\/option><\/select>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"fname\" placeholder=\"First name\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"mname\" placeholder=\"Middle Name\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"lname\" placeholder=\"Last name\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-2 control-label\">Date of Birth:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control datepicker\" name=\"dob\" required>\n\t\t\t<\/div>\n<p>\t\t\t<label for=\"inputZip\" class=\"col-sm-2 control-label\">Age:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"age\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Present Address:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"houseno\" placeholder=\"House No.\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"wardno\" placeholder=\"Ward No.\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"street\" placeholder=\"Street\/Road\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"locality\" placeholder=\"Locality\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n<div class=\"col-sm-2 col-sm-offset-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"landmark\" placeholder=\"Landmark\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"state\" placeholder=\"State\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"pincode\" placeholder=\"Pin code\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"country\" placeholder=\"Country\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Contact Details:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"email\" class=\"form-control\" name=\"stdemail\" placeholder=\"Email\" required>\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"mobileno\" placeholder=\"Mobile No.\" required maxlength=\"10\">\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"phoneno\" placeholder=\"Phone No.\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Marital Status:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-10\">\n\t\t\t\t<label><input type=\"radio\" name=\"mastat\" value=\"Single\"> Single&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Engaged\"> Engaged&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Married\"> Married&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Remarried\"> Remarried&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Divorced\"> Divorced&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"mastat\" value=\"Widower\/Widow\"> Widower\/Widow&nbsp;&nbsp;&nbsp; <input type=\"radio\" name=\"mastat\" value=\"Separated\"> Separated<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<p class=\"text-justify\" style=\"margin-bottom:15px;\"><b>SPIRITUAL DATA<\/b><\/p>\n<div class=\"form-group\">\n\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Date of your salvation:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control admitpicker\" name=\"datesal\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Have you received the baptism of the Holy Spirit with the evidence of speaking in other tongues according to Acts 2:4?:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<label><input type=\"radio\" name=\"baptism\" value=\"Yes\"> Yes&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"baptism\" value=\"No\"> No<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Name of the church that you are a member of:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"churchname\" placeholder=\"Name of the church\" required>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputZip\" class=\"col-sm-5 control-label\">Pastor&#8217;s name and phone No. (List yourself if you are the Pastor):<\/label><\/p>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"pastorname\" placeholder=\"Pastor's name\">\n\t\t\t<\/div>\n<div class=\"col-sm-2\">\n\t\t\t\t<input type=\"text\" class=\"form-control\" name=\"pastorphno\" placeholder=\"Phone No.\">\n\t\t\t<\/div>\n<\/p><\/div>\n<p class=\"text-justify\" style=\"margin-bottom:15px;\"><b>EDUCATIONAL DATA<\/b><\/p>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-2 control-label\">Education:<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-10\">\n\t\t\t\t<label><input type=\"radio\" name=\"education\" value=\"Under-Matric\"> Under-Matric&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"Post-Matric\"> Post-Matric&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"High School Graduate,\"> High School Graduate,&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"Under Graduate\"> Under Graduate&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"Bachelor's Degree\"> Bachelor&#8217;s Degree&nbsp;&nbsp;&nbsp;<input type=\"radio\" name=\"education\" value=\"Master's Degree\"> Master&#8217;s degree&nbsp;&nbsp;&nbsp; <input type=\"radio\" name=\"education\" value=\"P.H.D.\"> P.H.D.<\/label>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-5 control-label\">List any formal Bible training you have had (Seminar, Bible college, Bible course, etc.):<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-4\">\n\t\t\t\t<textarea name=\"bibletraining\" class=\"form-control\" required><\/textarea>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n\t\t\t<label for=\"inputState\" class=\"col-sm-5 control-label\">Write a testimony on how, when and where received Jesus as Personal Savior (in not less than 200 words.):<span style=\"color:#FF0000;\"> *<\/span><\/label><\/p>\n<div class=\"col-sm-4\">\n\t\t\t\t<textarea name=\"testimonial\" class=\"form-control\" required><\/textarea>\n\t\t\t<\/div>\n<\/p><\/div>\n<div class=\"form-group\">\n<div class=\"col-sm-4 col-sm-offset-5\">\n\t\t\t\t<button type=\"submit\" class=\"btn btn-danger\">Submit<\/button>\n\t\t\t<\/div>\n<\/p><\/div>\n<\/p><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>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: * &#8211; SELECT &#8211;Rev.Mr.Mrs.Miss. Date of Birth: * Age: * Present Address: * Contact Details: * Marital Status: [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-412","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/pages\/412","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/comments?post=412"}],"version-history":[{"count":3,"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/pages\/412\/revisions"}],"predecessor-version":[{"id":415,"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/pages\/412\/revisions\/415"}],"wp:attachment":[{"href":"http:\/\/rhemaindia.org.in\/rhema\/wp-json\/wp\/v2\/media?parent=412"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}