BRETHREN BIBLE INSTITUTE

P.O. BOX. 46, PATHANAMTHITTA, KERALA, INDIA- 689 645

APPLICATION FOR EXTENSION COURSE ON THEOLOGICAL STUDIES

  

One passport size 

photograph of the 

  applicant should be  

pasted

here

 

I. PERSONAL
 
FULL NAME [PRINT IN CAPITAL LETTERS]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MALE / FEMALE

 

 

 

 

 

 

PRESENT ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

DATE OF BIRTH

 

 

 

 

 

 

 

 

EMAIL ADDRESS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 PHONE NO. [RES.]                                                                   [MOB]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CITIZENSHIP               MARITAL STATUS [SINGLE / MARRIED / WIDOWED / EVER DIVORCED]

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IF MARRIED, NAME OF SPOUSE & OCCUPATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NAMES OF CHILDREN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

OCCUPATION OF THE APPLICANT

 

 

 

 

 

 

 

 

 

 

 

II. ACADEMIC BACKGROUND

Give details of your academic records

 

SECULAR EDUCATION

 Nature of the Programme

Name of the      Institute       University 

Period  

of 

Study

Nature of the Study [Internal / External]

Degree / 

Certificate Received

Percentage  

of  

Marks

High school

 

 

 

 

 

Pre-Degree /  
+2

 

 

 

 

 

Bachelor's

 

 

 

 

 

Master's

 

 

 

 

 


THEOLOGICAL EDUCATION

 Nature of the Programme

Name of the Institute /    University 

Period  

of 

Study

Nature of the Study [Internal / External]

Degree / 

Certificate Received

Percentage  

of  

Marks

Certificate / Diploma

 

 

 

 

 

B.Th./ B.R.E. / B.Min.

 

 

 

 

 

B.D. / M.B.S. /  
M.Div.

 

 

 

 

 

 

 

 

 

III. ENGLISH PROFICIENCY

What is your mother tongue?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Are you able to read, understand, write and speak English?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

How long have you known English?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you like to have the course in English?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Do you like to have the course in Malayalam?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

IV. CHRISTIAN EXPERIENCE AND CHURCH MEMBERSHIP

Are you born again?

 

 

Do you have a call for Christian ministry?

 

 

Name and address of your local church

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

V. DECLARATION

I ............................................................hereby certify that I have read all the instructions given by BBI. I also certify that all the information furnished by me is true to the best of my knowledge. If admitted, I undertake to abide by all the rules and regulations of the Institution.

Place...............................

Date................................                                                        Signature of the Student

 

FOR OFFICE USE ONLY

Admission Granted / Rejected

Register Number:

Details of Fees ..............................................

 

Principal /Registrar/Academic Dean