UJ
U J Correspondence Bible University Multipurpose Form

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 : jubu@email.com, jubu_vc@yahoo.co.in,
Web Site : http://jerusalem.faithweb.com
Accredited with International Council of Evangelical Theological Accreditation, Inc., Louisiana, USA Affiliated to The New International University of DIAM, Kohima


Founder & President : Rev. Dr. Prof. V. Albert Jayasingh M.A., M.B.A., D.D., Ph.D.,

ORDINATION / COORDINATOR APPLICATION FORM
(Tick the relevant item and fill in the blank lines)

Associate No: …………………..……………………

My Current Status in UJ / My Association with UJ :

 

……………………………………………………………

Affix
Your
recent
Passport
Size
Photograph

My Choice :

……COORDINATOR ……ORDINATION

 

1.      Name : ……………………..…………………………...………...………...……….…………..

2.      Address for Communication : …………………………………………………………………

…………………………………………………………………………...……….………………

……………………………...……….………… City : ……………….………………… ……..

State: ……………….………………….…….………….. Pin Code: …………………………

3.      Telephone No : Res: ………………………………..……………...

Off: ………………………………..……………...

Mobile: ………………………………….………………………….……...

E-mail ID :

Web Site :

4.      Present Occupation / Business / Career : ……………………………………………………

5.      a. Date of Birth : ……………………………… b. ……Male ……Female

6.      Educational Qualification :

a. Academic : ………………..………………. b. Technical : ………………..……………….

7.      a. Theological Qualification : …………………………...…………………………………..

b. Ministry Training : …………………………...…………………………………..

8.      Ministry Experience : …………………………...…………………………………..

…………………………………………………………………………...………...……………..

9.      Denomination and Name of Church in which you have Membership :

Denomination ………………………………………………………...……….………………..

Name of Church ………………………………………………………...……………………...

10. Name of your Pastor : ………………………………………………………….………………

11. Position held in Church : ……Member ……Elder ……Pastor

……Other(mention) ………………………………………………………………………

 

 

12. 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 : ……………………………………… Month & Year : ….……………….

I hereby declare that all the information furnished in this Application Form is true to the best of my knowledge.

………………………… ………………………………………… …………………………

Date Place Signature

a.Please answer:

 

One Passport Size Photo pasted in this Form? .......Yes .......No

One Passport Size Photo attached with this Form? .......Yes .......No

One Stamp Size Photo for Ordination ID Card attached with this Form? (For Ordination only) .......Yes .......No

One Stamp Size Photo for Coordinator ID Card attached with this Form? (For Coordinators only) .......Yes .......No

One Stamp Size Photo for Pastors Fellowship ID Card attached with this Form? (For Pastors Fellowship only) .......Yes .......No

Copies of High School / College / University / Bible School Certificates / Degrees attached? .......Yes .......No

Ministry Details / Ministry Plans attached?(For Ordination and for Pastors Fellowship only) .......Yes .......No

Two Letters from Pastors / Evangelists / Christian Leaders, of which one preferably from your Pastor Recommending your Ordination, attached? (For Ordination only) .......Yes .......No

 

b.      Please Tick the relevant item: (UJ Membership Fee is essential for becoming a Coordinator or to be Ordained or for Membership in Pastors Fellowship.)

.......I have enclosed by Demand Draft in favour of JUBU TRUST

.......I have sent by M.O. .......I have paid already .......I will send soon

.......JIM Membership Fee - Rs. 100/-

.......Ordination Fee - Rs. 100/- (in addition to Membership Fee)

.......Coordinator Kit Fee - Rs. 100/- (in addition to Membership Fee)

.......Demand Draft No………. …………………… Date:..…………………………………..

.......M.O. No. ……………. ……………………………. Date:..…………………………………..

.......JIM / UJ Receipt No. ………. …………… Date:……………………………………

c. Any other information :…………………………………………..……………………………

……………………………………………………………………………………………..………...

PLEASE NOTE : Before you mail this form, please check whether all the columns have been filled in. If you need any additional space, attach sheets.

Coordinator
Policy
Ordination
Policy
Pastors
Fellowship
Policy