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Final Form - 240618 - 174433

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41 views3 pages

Final Form - 240618 - 174433

Uploaded by

Nehemiya Marak
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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DISCIPLESHIP TRAINING SCHOOL, SOE

Kathalguri, P.O., P.S. & Dist. Udalguri, BTR, Assam-784509


Email Id:- [email protected]/, Website: www.belc.org.in
Contact No: +919101328377/+197002973110

Application Form

Use only CAPITAL letters to fill the application

Affix Photography
Certificate in Ministry (C.Th.) duration 1 year
Degree selected for Study:
Bachelor of Theology (B.Th.) duration 3-4 years

…………………………………….
1. Name of Applicant:………………………………………………
2. Father’s Name:………………………………………………….
3. Nationality:…………………….
4. Date of Birth: ___/___/___
5. Place of Birth:…………………………….
6. Mother Tongue:……………………………………..
7. Other Languages spoken and written:…………………………………………….............................
…………………………………………………………………………………………………………………
8. Permanent Address in Block Letters:…………………………………………………………………….
…………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………
9. Address for Correspondence:…………………………………………………………………….……….
……………………………………………………………………………………………………….…………
………………………………………………………………………………………………………….………
10. Have you been born again? If yes, when?
11. Are you in the ministry?
12. If yes, give name and address of your organization/church:…………………………………………
…………………………………………………………………………………………………………………
………………………………………………………………………………………………………………….
13. Do you use any form of intoxicating drinks or alcoholic beverage?
14. Do you have any physical or medical problems?
a. If yes, please explain:……………………………………………………………………….…………
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
15. Are you employed?
a. Give name and address of your employer:………………………………………………………..
………………………………..…………………………………………………………………………………
……………………………………….………………………………………………………………………….
16. Are you married?

a. If yes, name of your spouse:……………...………………………………………………………………


b. What is spouse doing?..............................................................................................................
………………………………………………………………...…………………………………………………
c. How many children do you have?.............................................................................................

17. Give the name and address of your local Pastor.........................

………………………………………………………………………………………………………………….
18. Please give names and full address of three spiritual leaders (not your relatives or pastor) who
know your spiritual life, character, etc. and recommend you for your study.
a. ………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
b. ………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
c. ………………………………………………………………………………………………………………
………………………………………………………………………………………………………………
19. How do you support yourself during your studies? Explain:…………………………………………..
………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………………..

20. Do you have a sponsor for your financial support?......................................................................


a. If no, how will you pay your fees? explain:…………………………………………………………
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….
………………………………………………………………………………………………………………….

21. Give name and address of your schools and colleges where you have studied:
a. School:………………………………………………………………………………………………………
………………………………………………………………………………………………………………
……………………………………………………………………………………………….

b. College:……………………………………………………………………………………………………
………………………………………………………………………………………………………………
……………………………………………………………………………………………….
22. Academic Qualification:
Name of the Course Name of the School/College Year of Study Percentage

I declare that all that I have stated is true and right to the best of my knowledge. I also declare
that I shall submit myself to the disciplinary jurisdiction of the administration and authorities of
DISCIPLESHIP TRAINING SCHOOL (DTS), who are vested with the authority to exercise
discipline according to the rules that have been or shall be famed.

Place:………………………………………………..
Signature of the Applicant
Date:………………………………………………..

Application should accompany

1. Two recent passport size photographs of the applicant and one should be affixed to the space
shown above.
2. Photostat copies of the certificates of examination passed.
3. Testimony of your conversion, call to ministry, ministry experience and purpose of choosing this
course and institution for studies.
4. Two recommendation letters for studies from:
a. Your pastor.
b. Your organization/Institution head (if you are working/serving the Lord).
5. Medical report of physical and medical fitness for academic studies.
6. Use extra sheets of paper if needed for filling the application form.

Official Use Only

Mr/Ms/…………………………………………………………………………..is provisionally admitted for the


degree……………………………………………………….on………………………………………………………..
for the academic year…………………………………………………………………………………………………

Comments:………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………….
…………………………………………………………………………………………………………….………………

Principal Director

Mr. Nailang Basumatary Rt. Rev. Ichahak Muchahary

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