|
|
| U J | Correspondence Bible College | Honorary Doctorates Form |
(Select the Form below with mouse; Right Click and select COPY; Paste in MS Word or WordPad or Notepad; Then fill up and send by Email or Mail)
UNIVERSITY OF JERUSALEM
Post Box No. 26, 2nd Floor, No.237, GST Road, Kadaperi,
West Tambaram, Chennai, Tamil Nadu - 600 045, India
Ph: +91- 44 2238 3974, 91-44- 6591 5613, Cell : 0 - 93807 57175
E-mail :ujglobal@gmail.com,jubu@email.com, jubu_vc@yahoo.co.in,
Web Site :
http://jerusalem.faithweb.com
Founder
& President : Rev. Dr. Prof. V. Albert Jayasingh M.A., M.B.A., D.D., Ph.D.,
(Insert a Star or a Tick Mark or any other symbol in front of the Degree of your choice)
| .. D.D., | .. D.Min., |
Affix your recent Passport Size Photograph
|
1.
Name :
2.
Full Postal Address for Communication :
City
:
State:
Pin Code:
3.
Telephone No : Res:
Off:
Mobile:
E-mail
ID :
Web Site :
4.
Present Occupation / Business / Career :
1.
Qualification :
2.
Ministry Training
:
3.
Ministry Experience
:No. of Years :
Other details :
.
No. of Branch Churches :
Total Members in all of your Churches :
Any other achievements:
4.
Name of Church in which you have Membership:
Denomination :
Position held in Church : .....Member .....Elder .....Pastor
.....Other (Mention)
How did you come to know of UJ? If you came to know
through a person give details:
Name
:
Address
:
Phone
:
E-mail :
If
you came to know through a Magazine give details:
Name
of Magazine :
Date :
I
hereby declare that all the information furnished in this Application Form are
true to the best of my knowledge.
Date
:
Place :
Signature:
Read
the following before you mail this form
..
a.
Please check whether all the columns have been filled in.
b.
Attach or send one recent Passport size Photographs and one Stamp size Photograph.
c.
Attach copies of High School / College / University / Bible School
Certificates / Degrees.
d.
Send by Demand Draft in favour of JUBU TRUST the prescribed FEES.
Any
other information :
|
|
|