Application Forms2019-10-07T07:35:38+00:00

HCCM Online Application Form

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:

Educational Record

Highest qualification and Institution:
Please tick appropriate box: MatricNational Senior Certificate

Next Of Kin

Title, Initials, Name and Surname:
Relationship:
Tel:
Email:
Name and contact detail of Spouse (if applicable):
SOCIO ECONOMIC INFORMATION (required by the DHET)
INDICATE CHOICE OF DELIVERY
Option 1:Copies of study Material to be delivered to my address (Semester Fee of R 2900)
Option 2:Study Material to be accessed Online (Semester Fee of R2600)
The Application Fee is R 200.

Account Name: SMMS
Bank: First National Bank
Account no: 62216384876
Reference: Surname and initials of applicant
PLEASE UPLOAD THE FOLLOWING DOCUMENTS:
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 R200:
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