Bible Institute Diploma Enrollment

“Study to show thyself approved unto God, a workman that needeth not to be ashamed, rightly dividing the word of truth”.

(2 Tim 2:15).

APPLY NOW

FOR THE NEW

ACADEMIC YEAR

ALL CLASSES ARE HELD

DURING THE WEEK FROM

5:15 p.m. – 7:30 p.m.

REGISTRATION EXTENDED

Power In the Blood Bible Institute DIPLOMA ENROLLMENT FORM

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Last Name

Home Phone

First Name

Middle Name

Work Phone

Mobile

Birthday

Nationality

Address

OCCUPATION

Occupation

Employer

Employer Address

EMERGENCY CONTACT INFORMATION

EC Full Name

EC Number

EC Mobile

HEALTH

Do you have any physical disabilities that may need special consideration during your course of study?

RELIGIOUS INFORMATION

1. Have you accepted Jesus Christ as your Saviour and Lord? If yes, when?

2. Name the church of which you are a member.

4a. Address of the church.

3. How long have you been a member?

4b. Church Contact Number

5. What Christian service have you been involved in during the last two years?

6. What position (s) have you held in your local church during the last two years?

7. Are there any special skills you have that would be willing to share with the student body?

FINANCE

How do you plan to finance your studies?

ACADEMIC INFORMATION

Academic Institution 1

Academic Institution 2

Academic Institution 3

Academic Qualifications Gained: 1

Academic Qualifications Gained: 2

Academic Qualifications Gained: 3

Period of Study (From - to) 1

Period of Study (From - to) 2

Period of Study (From - to) 3

CHRISTIAN INFORMATION

C. Academic Institution 1

C. Academic Qualifications Gained: 1

C. Period of Study (From - to) 1

C. Academic Institution 2

C. Academic Qualifications Gained: 2

C. Period of Study (From - to) 2

C. Academic Institution 3

C. Academic Qualifications Gained: 3

C. Period of Study (From - to) 3

Signature of Applicant

AGREEMENT
I hereby certify that the information submitted is true and pledge that by God’s help I will uphold the Christian principles of living found in the Word.
If accepted by the Institute I promise to obey all its rules, comply with its regulations and be a daily example of the Spirit filled believer, living by biblical principles.

Date Applied

Thanks for enrolling!

NOTE: Review your entries and ensure you have filled in all the information correctly. If a red outline appears around a submission field, that means your information was inserted incorrectly.

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Enrollment Fees can be paid directly to the Office from Monday to Friday, 9:00 a.m. to 4:00 p.m. or online via Bank Transfer. Kindly press "How To Pay" for the details:

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