STUDENT’S
REGISTRATION FORM
1.Full
Name…………………………………………………………………………………...Sex…………………….
2.
Contact Address………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………..
Phone
Number…………………………………………..E-mail…………………………………………………….
3.
Nationality…………………………………………..State of Origin…………………………………………
4.
Date of Birth……………………………………………Date of Salvation……………………………………
5.Have
you been Baptized by Immersion? Yes…… or No…….
6.
Educational
Qualifications
Year Obtain
............................................
…………………………………………
…………………………………………….
……………………………………………..
………………………………………….
………………………………………………
………………………………………….
………………………………………………
7.
Occupation……………………………………………………………………………………………………………………
…………………………………………………………………………………………………………………………………………
8.
Why do you want to enroll into IBA?……………………………………………………………………………..
………………………………………………………………………………………………………………………………………
11.
Your choice program … Diploma….. or Advance Diploma…………….
12.
Your preferred Study Center…………………………………....................................................................................................
13
Your preferred session…fulltime…..weekend……distance learning……………….
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