Application Form

Green Pasture

Theological Center

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Step 1 of 4

Academic Year

Course Applying for (Tick)

M.div (Master Of Divinity) Four Years
B.th (Bachelor Of Theology) Four Years
C.Th (Certificate in Theology) One Year

Full Name

(Write in BLOCK LETTERS exactly in the same order as your name appears in your
academic certificate)

Present Address

Address Line 1

Address Line 2

City

State / Province / Region

Postal Code

Country

(To which all centre correspondence should be sent)

Mobile Number

Marital Status

Date Of Birth

Sex

Place Of Birth

Nationality

Mother Tounge

Other languages you can Speak, Read and Write.

(If you know more than one language, Please write with comma,.)

The name of your church denomination.

(Please Specify Your Church Denomination)

Of which local church are you a member?

Are You Ordained?

Educational Qualifications (All applicable columns must be filled)

School/College Name

Year of Graduation

Examination Passed

School/College Name (copy)

Year of Graduation (copy)

Examination Passed (copy)

School/College Name (copy) (copy)

Year of Graduation (copy) (copy)

Examination Passed (copy) (copy)

School/College Name (copy) (copy) (copy)

Year of Graduation (copy) (copy) (copy)

Examination Passed (copy) (copy) (copy)

School/College Name (copy) (copy) (copy) (copy)

Year of Graduation (copy) (copy) (copy) (copy)

Examination Passed (copy) (copy) (copy) (copy)

Give details of your work / employment since completing your studies up to the present: (Please fill- in details for all years in that period).

Nature of Work

Organization

Dates

Nature of Work

Nature of Work (copy) (copy)

Nature of Work (copy) (copy) (copy)

Nature of Work (copy)

Nature of Work (copy) (copy) (copy)

Nature of Work (copy) (copy) (copy) (copy)

Nature of Work (copy) (copy)

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Nature of Work (copy) (copy) (copy)

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Entrance/Qualifying Examinations:

All candidates have to appear for Entrance/Qualifying examination.

DECLARATION AND PLEDGE

I declare that all the information given above is true and correct. I promise that, if admitted to the GPTC: I shall abide by the rules and regulations of the GPTC.

I shall submit myself to the decisions taken regarding me by the GPTC administration while I am a student of the GPTC.

Signature:

Date

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Green Pasture

Theological Center