Application Form

Academic Year

Name of the Applicant *

Occupation

Course *

Gender

Medium

Educational Qualification

Academic

Theological

Age

Name of the Father/Guardian

Occupation

Permanent Address (with pin code)

Nationality

Phone/Mobile Number

eMail *

Church Denomination

How do you want to involve in gospel ministry? Full time/part time

Who will support/sponsor for your study

Are you married

Number of Children?

Give the name & address of your
pastor/responsible person