MISSION INDIA BIBLE COLLEGE ONLINE APPLICATION FORM Mission India Campus, Thiruvananthapuram, Kerala.
To be filled up by the applicant. Please type the information clearly as it appears in your official certificates and documents. Kindly upload your recent color passport size photo, scanned copy of 10th, +2, and degree certificates and mark-sheets required based upon the desired program and its eligibility.
Select the preferred mode of study and program.
Scan and keep all the following documents ready to upload: Your recent color passport size photo. 1. Copies of Aadhar Card. 2. Copies of all of your educational certificates. 3. Copies of your Transcripts.
Mode of Study
REGULAR:-Select the program you are applying for:-
UPLOAD YOUR RECENT PASSPORT SIZE COLOR PHOTO
Max. size: 64.0 MB
A. PERSONAL INFORMATION
1. Name of the Applicant (in Block Letters) First Name
Middle Name
Last Name
2. Gender
3. Date of Birth
4. Place of Birth
5. Nationality
6. Aadhar Card No
7. Address for communication
House No
Village
Post Office
Taluka/Tehsil/Block
City /Distirct
State
Pin Code
Country
Mobile No.
Phone No.
8. Permanent Address
Permanent Address
B. FAMILY INFORMATION
9. Marital Status
10. If Married, then Date of Marriage
11. Spouse's Name
Spouse's Occupation
12. Spouse's Date of Birth
13. Do you have Children?
Name of the Children, Date of Birth, and Gender
14. Name of your Father, Age, and Occupation
15. Name of your Mother, Age, and Occupation
16. Parent's/Guardian's Address
House No.
Village
Post Office
Taluka/Block/Tehsil
City/ District
State
Pin Code
Mobile No.
17. Name of your siblins, age, gender and their contact mobile numbers
18. Mother Tongue
19. Languages that you Speak, Read, and Write.
C. BACKGROUND AND HEALTH INFORMATION
20. Do you have a habit of smoking. using tobacco and intoxicating drinks etc?
21. Do you have any kind of addictions and substance abuse like drugs etc?
Are there any police/court cases in which you are involved?
If, Yes, explain
22. Have you ever been arrested by the police in any case?
23. Have you ever been treated for mental or emotional health
24. Are you differently abled?
if yes,would you explain
25. Do you suffer from any chronic disease such as Tuberculosis, Epilepsy, Asthma, Diabetes, Rheumatic heart etc?
If yes, please specify
26. Have you been admitted to the hospital within last six months?
If yes, specify the reason
27. Do you take medicines with doctor's medical prescription?
28. Do you take medicines without doctor's medical prescription?
If yes, specify
D. CHRISTIAN EXPERIENCE AND CHURCH AFFILIATION
29. Have you received Christ as your Personal Lord and Savior?
If yes, Date of Salvation
30. Have you received Believer's baptism?
If yea, Date of Baptism
31. Do you have any experience of the baptism of the Holy Spirit?
If yes, When?
32. Have you realized a Call for the Christian Ministry?
33. Are you willing to be a servant leader?
34. Name and address of your local church
Address of your local Church
35. Name of your local Pastor/ presbyter/vicar
Phone number of your pastor/presbyter/vicar/priest
36. Do you exercise any spiritual gifts?
If yes, specify
37. Are you a worship leader?
38. What is your Denominational Church affiliation?
39. Do you play any musical instruments?
if yes, name of the musical instrument
40. Describe your present and past ministry involvement in your local Church?
41. Are you ordained?
If yes, Date of Ordination
42. Details of your work and ministerial experience. Explain type of ministr/ full time/part time/duration and name of the employer and supervisor.
43. Are you working with Mission India?
44. Do you personally know any member of Mission India?
45. Specify your special talents, hobbies or interests.
46. Specify your Strength
Specify your weakness
E. ACADEMIC INFORMATION
47. Select your educational qualifications
Upload 10th Certificate and Mark Sheet
Max. size: 64.0 MB
Upload +2/12th/PDC/HSC certificate and Marksheet
Max. size: 64.0 MB
Upload Upload Degree certificate and Transcript
Max. size: 64.0 MB
Other certificates and Mark Sheet
Max. size: 64.0 MB
Upload any one of the Identification Documents/ Aadhar/ Driving Licence/Vote ID
Max. size: 64.0 MB
F. FINANCIAL INFORMATION
48. Who is responsible to pay for your fees during the period of your studies at MIBC?
49. Are you being supported by any Church, Organization or Sponsoring Agency?
If yes, give the details
50. Name and Postal Address of your Sponsor with contact information such as mobile no and email id.
51. What is your family income monthly??
G. REFERENCES
52. Please indicate the name and address of three persons (a Pastor, a Teacher/professor, and a friend) who would be willing to provide references on your behalf. They must not be your parents, family members or anyother close relatives. A request will be sent to them by MIBC. Reference 1
Reference 2 ( Teacher/Professor)
Reference 3 (Friend)
H. DECLARATION
I do hereby solemnly declare that the above information is accurate and true to the best of my knowledge. If admitted, I agree to observe all the rules, regulations, and standards of Mission India Bible College and maintain a high standard of Christian conduct on and off-campus. I shall fulfill the responsibilities in all aspects of my study and shall balance my spiritual, academic, personal, family, and social life. If I failed to comply, I will accept the disciplinary actions and decision of the administration of MIBC, even including the possible termination of my study at MIBC Thiruvananthapuram, Kerala.
I declare and agree with the Declaration
Date of Declaration
Name and Signature of the Applicant
Please upload your signature
Max. size: 64.0 MB