Title:
Initials:
Surname :
Full Names:
Gender:
Marital Status:
Preferred Name:
Maiden Name:
Date of Birth:
Home Language:
Other languages:
Nationality:
Citizen Resident Status:
ID Number:
Passport Number :
Equity:
Disability?:YesNo
If yes, please specify:
Church Affiliation:
If MCSA, from which Circuit:
Local Preacher Status:YesNoOn-trial Local Preacher
Name of Superintendent:
If OTHER Church Affiliation, name of parish/congregation:
Physical Address:
Postal Code:
Province:
Postal Address:
Telephone: Home:
Work:
Cell:
Fax:
Email:
Highest qualification and Institution:
Please tick appropriate box: MatricNational Senior Certificate
Title, Initials, Name and Surname:
Relationship:
Tel:
Name and contact detail of Spouse (if applicable):
EmployedUnemployedSeeking WorkNot WorkingNot LookingHome MakerScholar/StudentPensioner/RetiredDisabledN/A:Institution
Option 1:Copies of study Material to be delivered to my address via Aramex (Semester Fee of R 3330)
Option 2:Copies of study Material to be delivered to my address via Pep (Semester Fee of R 3080)
Option 3:Study Material to be accessed Online (Semester Fee of R2930)
The Application Fee is R 220.
Please upload a certified copy of your ID document:
Please upload a Certified copy of Matric and highest qualification(including transcripts):
Please upload Proof of payment of application fee of R220:
Please upload an Official letter of endorsement from Bishop/Superintendent/Minister/Pastor:
Agreement: I hereby apply for admission to the Seth Mokitimi Methodist Seminary. I declare that all the information submitted in and with this document is correct and true.
AgreeDisagree