Web Site SECTION A Religion Church Affiliation Date of Birth Nationality Marital Status Sex Email Address Telephone number SECTION B For those who desire a two-year ministerial scholarship in Nigeria, indicate your Academic Qualifications; starting with the highest (Degree / A –Level / O-Level/ Others) Names of Institution/Certificate or Degree Obtained/Year State briefly what inspired you to desire the ministerial training SECTION C Declaration I declare that the information given herein is correct to the best of my knowledge. If the information supplied herein is later found or proved to be false, my application automatically becomes invalid. Surname First Name Other Name