KMBC – KwaZulu-Natal Missionary & Bible College The College with a Heart for Africa
OFFICIAL APPLICATION FORM FOR ADMISSION – FEE R50.00 Personal Data SURNAME FIRST NAMES DATE OF BIRTH GENDER & MARITAL STATUS LANGUAGE
/ / / ❏ MALE ❏ MARRIED ❏ NO. OF CHILDREN HOME: OTHER
ID NO OR PASSPORT NO: ❏ FEMALE ❏ SINGLE
❏ OTHER
NATIONALITY POSTAL ADDRESS NUMBERS
HOME
CELL
FAX NUMBER/ E-MAIL
Please supply e-mail contact for easy communication
WHEN DO YOU WISH TO START YOUR STUDIES? STUDENT ❏ FOREIGN ❏ LOCAL STATUS Do you require Accommodation? YES / NO Study Options CERTIFICATE ❏ Certificate in Ministry ❏ PART-TIME OR COURSES ❏ Certificate in Theology DIPLOMA COURSES
❏ FULL-TIME
Diploma Course 1-Year Diploma in Ministry 2-year Diploma in Theology 3-year Diploma in Pastoral Theology Entry requirements nd English as a 2 language Each application will be reviewed on its own merit and education levels.
Education Highest Level of Education & year obtained Other Certificates or Diplomas Trade Qualification Have you ever been expelled or refused entrance to study at another institution? YES NO RETURN THIS FORM TOGETHER WITH: • Personal Reference • Minister’s Reference nd • 2 Reference • Medical Certificate • R50.00 Application Fee
TO: KMBC P0 BOX 22864 Southgate, PIETERMARITZBURG 3200 033 346 0635