The Association for Theological Education by Extension
No 1978/1 Chenna Kesava Layout, Hennur Main Road, Kacharakanahalli, St Thomas Town PO, Bangalore 560 084
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BTS Student Registration Form
Qualified Candidate (12 years of education) / Mature Candidate (not qualified, over 25)
Personal Information
Full Name: (in block letters, as given in your official documents. This is how it will appear on your TAFTEE certificate.) Title: Ms/Mrs/Mr/Rev/Dr/Other: Address: House/Street: . Village/Town/Taluk: .. City/District: .. State: Pin Code: Phone: E-Mail: Other Personal Details: Date of Birth* (DD/MM/YY): .... Gender: Educational Qualification*: Occupation: Do you wish to register with*: Male/Female .. .. ATA / TAFTEE only
Language you wish to study in: English / Tamil
Ministry Information
Church Denomination: . Local Church: .. Ministry Involvement: (Some form of ministry involvement is expected. Please tick any ministries you are actively involved in.) a. Village Pastor f. Missionary k. Social Service b. Urban Pastor g. Church Planter l. Medical Ministry c. Catechist/Lay Preacher h. Sunday School m. Any Other Ministry: (Please specify) d. Elder/Deacon/Lay Leader i. Youth Ministry e. Evangelist j. Womens Ministry Students Signature: Date: (DD/MM/YY) .
Enrolment Information
(To be filled by TAFTEE Coordinator) Study Group: ... Study Centre: .. Region: . There are TWO registration fees ATA and TAFTEE: Coordinators Signature: Date of Joining: (DD/MM/YY) .. Partnership: .... Group Leader/Tutors Name: Ministry Supervisor (If different): ..... Date: (DD/MM/YY) . Reg fee receipt no: Registration Number: Signature:
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Registration fee: Amount paid: Date paid: Acknowledgement no:
For Office Use Only:
Date Received: (DD/MM/YY) ... Date Entered: (DD/MM/YY) .
* A) Qualified Candidate: Provide a certificate copy for 12 Std (or degree). OR, with 10th Std and a 2-year diploma (e.g. TAFTEE CLP), you can sit an entrance exam to qualify. (Normally, register with both ATA and TAFTEE.) B) Mature Candidate: If you are not qualified, but age over 25, please provide age proof. i) We can register a limited number of mature candidates with the ATA; for this, you need to pass an entrance exam. ii) Otherwise (with no need for an exam) you can register with TAFTEE only (to receive a degree awarded simply by TAFTEE).
13 Jan 2011