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ATTACH YOUR FOR OFFICE USE ONLY

RECENT
PASSPORT SIZE Date of Received......................
PHOTO Date of Acceptance...................
TRINITY COLLEGE AND SEMINARY
Course Applied .......................
Sielmat, Churachandpur Remark ....................................
Date................ Signature..........
ADMISSION FORM 2019-20

(To be filled in by the Applicant own handwritting)

1. NAME OF APPLICANT .....................................................................................................................


(in block Letter)
2. Address: ...................................................... 3. Mailing Address: .......................................................
........................................................................... .................................................................................
........................................................................... .................................................................................
4. Father’s/Mother’s Name and Address: ................................................................................................
.............................................................................................................................................................................
5. Father’s/Mother’s Occupation: ...................................................... 6. Telephone: ...............................
7. Age: ............................. 8. Date of Birth: ........../........../............... 9. Sex: .................................
10. Marital Status: (a) Write (M) if married; (S) if single: ........... (b) If married, no. of Children: ...............
11. Name & Address of Denomination ........................................................................................................
.....................................................................................................................................................................................................
12. Tribe/Community: ....................................... 13. (a) Are your Employed? Yes / No
(b) If so, employer’s name & address: ................................
...................................................................................................................................................................
14. In what Christian activities have you been involving? ..........................................................................
......................................................................................................................................................................
15. Hobbies and special interest: ..................................................................................................................
16. Sponsorship: (a) Self-Support: ..............................................................................................................
(b) Church/Organization: .......................................................................................................................
If so, Address: ............................................ ........................................................................................

17. Are you seeking hostel accommodation? : Yes ......... No .........


18. Course Applied : (Tick the appropriate course)
Diploma in Theology (For Class X Passed)
Bachelor of Theology (For Class 10+2 and Dip. Th. Passed)*
Master of Divinity (For B.Th. and secular graduate)*

(* For detail please refer admission requirements in the prospectus on page 13)

Examination Pass Name of Board/College Year Degree Class/Division

H.S.L.C.

Pre-Univ (10+2)

Dip.Th.
B.A/M.A/B.Th
TRINITY COLLEGE AND SEMINARY
Sielmat, Churachandpur, Manipur

2019 - 2020

Letter of Recommendation from Church Pastor

Name of the Applicant (in Block Letter):_________________________________________________


Name of Referee:_________________________________________ Contact no. ________________
(Your information about the applicant’s life will help us select men and women who are truly committed to
work for the Lord. Please take time with prayer and supply the information requested below as fully and
accurately as possible. Thank you for your cooperation.)

1. How long have you known the applicant?_____________________________________________


_________________________________________________________________________________

2. In what capacity have you known him/her? (e.g. Employer, Pastor, Teacher, etc. If relative, state
the relationship) ____________________________________________________________________
__________________________________________________________________________________

3. State in brief about the applicant’s personal commitment to Christ.__________________________


__________________________________________________________________________________

4. In what ways the applicant involved in the life and work of his/her local congregation?
__________________________________________________________________________________
__________________________________________________________________________________

5. What gift has the applicant shown that could be useful in Christian service?
__________________________________________________________________________________
__________________________________________________________________________________

6. All people have weaknesses. What do you feel are the main areas of weakness in the applicant’s
life? ______________________________________________________________________________
__________________________________________________________________________________

7. To your knowledge does the applicant: smoke/ drink/ use narcotic? _________________________
_________________________________________________________________________________

8. Please tick one:


I recommend the applicant very highly. ( )
I recommend the applicant ( )
I recommend the applicant with some hesitation. ( )
I do not recommend the applicant. ( )

Signature _________________________ Position or title ___________________________________


Address __________________________________________________________________________
Date ____________________________

N.B. - Please do not send through the applicant.

Mail directly to: Director of Admissions


Trinity College and Seminary
Sielmat, Box-2, Churachandpur
Manipur - 795128
TRINITY COLLEGE AND SEMINARY
Sielmat, Churachandpur, Manipur

2019 - 2020

Letter of Recommendation from Church Elder

Name of the Applicant (in Block Letter):_________________________________________________


Name of Referee:_______________________________________ Contact no. __________________
(Your information about the applicant’s life will help us select men and women who are truly committed to
work for the Lord. Please take time with prayer and supply the information requested below as fully and
accurately as possible. Thank you for your cooperation.)

1. How long have you known the applicant?_____________________________________________


_________________________________________________________________________________

2. In what capacity have you known him/her? (e.g. Employer, Pastor, Teacher, etc. If relative, state
the relationship) ____________________________________________________________________
__________________________________________________________________________________

3. State in brief about the applicant’s personal commitment to Christ.__________________________


__________________________________________________________________________________

4. In what ways the applicant involved in the life and work of his/her local congregation?
__________________________________________________________________________________
__________________________________________________________________________________

5. What gift has the applicant shown that could be useful in Christian service?
__________________________________________________________________________________
__________________________________________________________________________________

6. All people have weaknesses. What do you feel are the main areas of weakness in the applicant’s
life? ______________________________________________________________________________
__________________________________________________________________________________

7. To your knowledge does the applicant: smoke/ drink/ use narcotic? _________________________
_________________________________________________________________________________

8. Please tick one :


I recommend the applicant very highly. ( )
I recommend the applicant ( )
I recommend the applicant with some hesitation. ( )
I do not recommend the applicant. ( )

Signature _________________________ Position or title ___________________________________


Address __________________________________________________________________________
Date _________________

N.B. - Please do not send through the applicant.

Mail directly to: Director of Admissions


Trinity College and Seminary
Sielmat, Box-2, Churachandpur
Manipur - 795128
TRINITY COLLEGE AND SEMINARY
Sielmat, Churachandpur, Manipur

2019 - 2020

Letter of Recommendation from Church Chairman/Secretary

Name of the Applicant (in Block Letter):________________________________________________


Name of Referee:_______________________________________ Contact no. __________________
(Your information about the applicant’s life will help us select men and women who are truly committed to
work for the Lord. Please take time with prayer and supply the information requested below as fully and
accurately as possible. Thank you for your cooperation.)

1. How long have you known the applicant?_____________________________________________


_________________________________________________________________________________

2. In what capacity have you known him/her? (e.g. Employer, Pastor, Teacher, etc. If relative, state
the relationship) ____________________________________________________________________
__________________________________________________________________________________

3. State in brief about the applicant’s personal commitment to Christ.__________________________


__________________________________________________________________________________

4. In what ways the applicant involved in the life and work of his/her local congregation?
__________________________________________________________________________________
__________________________________________________________________________________

5. What gift has the applicant shown that could be useful in Christian service?
__________________________________________________________________________________
__________________________________________________________________________________

6. All people have weaknesses. What do you feel are the main areas of weakness in the applicant’s
life? ______________________________________________________________________________
__________________________________________________________________________________

7. To your knowledge does the applicant: smoke/ drink/ use narcotic? _________________________
_________________________________________________________________________________

8. Please tick one :


I recommend the applicant very highly. ( )
I recommend the applicant ( )
I recommend the applicant with some hesitation. ( )
I do not recommend the applicant. ( )

Signature _________________________ Position or title ___________________________________


Address __________________________________________________________________________
Date ____________________________

N.B. - Please do not send through the applicant.

Mail directly to: Director of Admissions


Trinity College and Seminary
Sielmat, Box-2, Churachandpur
Manipur - 795128
TRINITY COLLEGE AND SEMINARY
Sielmat, Churachandpur, Manipur

Sponsor’s Financial Guarantee Form 2019- 2020

Dear Sponsor: Please check the Seminary fee structure before you fill up the form.

Name of the Candidate (in block letter): ______________________________________________

Please tick only one: (a) 2 years Dip.Th (b) 3 years B.Th (c) 2 years M.Div (d) 3 years M.Div

Name of Sponsor: _________________________________________________________________

I/We undertake to pay the full fees for the candidate to be enrolled in the above selected course:
(Please write in figures)

1. Fees Required by the Seminary: Rs. ______________________________ Hosteller/Day Scholar

2. I hereby undertake to support the above student for the entire period of study at Trinity College
and Seminary by arranging to transfer either in full or instalments as per provision made in the
rules, on or before the specified dates.

Date: ______________________

Sponsor’s Signature: ______________ Sponsor’s Position ___________ (Sponsor’s Seal)

Name and address of person to whom bill should be sent for payment (in block letters)

Name: _____________________________________ Position: ____________________________

Full Address: ______________________________________________________________________

City: ____________ District: ______________ State: _______________ Country: ____________

Pin Code:

Contact number:
Area Code: _______________ Landline: ________________ Mobile Number: _______________

Email Id:
___________________________________________________________________________

NB: (i) Applicant (Hosteller) must deposit Rs. 11000.00/- at the time of registration.
(i) Applicant (Day Scholar) must deposit Rs. 8000.00/- at the time of registration.