Registration Application

First Name: * Surname: * Other Names: Middle Name: Gender: Nationality: * Date of Birth: *

Contact Number: * Email: * National ID Number: * Emergency Contact Number: Physical Address: Mailing Address:

Ministry Credentials: Church Affiliation: Prior Bible School/College Training: Graduation Year: Grade/Result:

Choose a Course: * Preferred Start Date: Specialization (if applicable):

I, the undersigned, declare that the information supplied is true and accurate. Supporting Documents (optional):

Amount to Pay: 25 USD

Payment Reference: REGISTRATION APPLICATION