STUDENT’S PERSONAL DATA

GROUND OF TRUTH BIBLE INSTITUTE

No1, Aboderin Street, Opposite co-operative Press, Agbaje, Orita Challenge, Ibadan.

MAIN CAMPUS IBADAN OYO STATE

STUDENT’S PERSONAL DATA

Name:___________________________________________________________________________

                            (Surname)                                              (Other Names)

Title:     / Religion / Chieftaincy / Educational / Social: ____________________________________

Sex: _____________________ State of Origin: __________________________________________

Home Town: _______________________________Marital Status: _________________Age______

Date of Birth: ___________________________Place of  Birth______________________________

Your Phone No:_____________________________Spouse Phone No:________________________

Home Address: ____________________________________________________________________

Office Address: ___________________________________________________________________

Profession: _______________________________________________________________________

Church’s Name & Address: __________________________________________________________
_________________________________________________________________________________

Position Held in the Church: _________________________________________________________

Education Qualification: ___________________________________________________________________

Schools Attended                                       Date                                     Certificate Obtained

___________________________     _________________      _______________________________

___________________________     _________________      _______________________________

___________________________     _________________      _______________________________

Course Applied for: ________________________________________________________________

When did you give your life to Christ?________________________Where?___________________

Have you been Baptized in water?  Yes/No    When / Why__________________________________

Have you been Baptized in and with the Holy Ghost with the evidence of  speaking in tongues?____

Will you abide with the rules and regulations of this Institute as stated in admission form?_______

                                                     FOR OFFICE USE ONLY

Tick as appropriate         Qualified                    Probation                 Not qualify      

                                                                                     Refer to another course

General Comment:_________________________________________________________________________________________________________________________________

Interviewed by_______________________________    Date___________________________________