U J | Correspondence Bible University | Multipurpose Form |
UNIVERSITY OF JERUSALEM
|
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 |
COORDINATOR
ORDINATION
1.
Name
:
..
...
...
...
.
..
2.
Address
for Communication :
...
.
...
.
City :
.
..
State:
.
.
.
.. Pin Code:
3.
Telephone
No : Res:
..
...
Off:
..
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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 :
...
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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 |