| Please select the course: |
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| Title: |
Initials: |
Surname : |
| full Names: |
| Preferred Name: |
Maiden Name: |
| Gender: |
Marital Status: |
| Home Language: |
Other languages: |
| Citizen Resident Status: |
| ID Number: |
Passport Number : |
| Equity: |
| Church Affiliation: |
| Please tick the appropriate box: |
I am baptizedYesNo |
I am confirmedYesNo |
| If MCSA, from which Circuit: |
| Are you intending to candidate for Ministry in the MCSA?: |
YesNo |
| Physical Address: |
| Postal Code: |
Province: |
| Postal Address: |
| Telephone: Home: |
Work: |
Cell: |
| Email: |
| Driver’s License?: |
YesNo |
Medical Record
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| Medical Record: Are there any medical conditions that we need to be aware of? E.g., Diabetes, physical disabilities, problems with vision/hearing, etc.... (Kindly note that this is for information purpose only and does not jeopardize the outcome of your application). |
| If you do have any medical condition, please submit a medical report from a medical practitioner. |
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Educational Record
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| Educational Record:(provide name(s) of institution(s), qualification(s) received, years of study, et cetera. |
| You must submit certified copies of all certificates and transcripts without delay. |
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| Matric (Please tick appropriate box): |
With Degree EndorsementWithout Degree Endorsement |
Next Of Kin
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| Title, Name and Surname: |
| Relationship: |
Address: |
| Tel: |
Email: |
Please upload the completed financial agreement and references forms to continue:
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| Click Here to download the form |
| Please upload the completed financial agreement and references forms: |
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| Please upload a certified copy of your ID document: |
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| NOTE: International Students bear the responsibility for acquiring any required visas, study permits, et cetera. It is NOT the responsibility of SMMS to acquire such documentation on your behalf. |
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. I further declare that I have no outstanding debt at any institution which I have previously studied at and that I also have no disciplinary action against me nor have I been expelled .
I have read the conditions for enrollment and declare my willingness to abide by them. |
| AgreeDisagree |
