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Sonoma Adventist College

P.O Box 360. Kokopo 613


Papua New Guinea
Phone: 982 1782, 719 02655
info@sonoma.ac.pg

2022 Application Form Ap pl i c a n t Nu m b e r : _ _ _ _ _

_____________________
________________
(1) Name: _____________________ (2) Surname: (3) Date of Birth: ___________________

(4) Male? or Female? (Circle); (5) Marital Status (circle): Single, Married, Divorced, De Facto; (6) Boarding? or Non-Boarding? (Circle)

(7) Citizenship: ______ (8) Home Prov.: _____________; (9) District: ________________; (10) Prov. of Residency: _____________

(11) Religion: _____________ (12) Baptized?: ____ (13) Phone: _______________;

(14) Email: __________________________________________ (It is very important that you email is clearly written)

(15) Postal Address: _________________________________________________________________________________________

(16) Next of Kin (name): ___________________; (17) NoK (phone): ________________; (18) NoK (relation): ___________________

(19) Course (circle one): Advanced Diploma of Tropical Agriculture, Advanced Diploma of Building, Advanced Diploma of Business,
Advanced Diploma of Pastoral Ministry, Bachelor of Education (Early Childhood), Bachelor of Education (Primary),

Sonoma is a Drug Free Zone: (20) Do you smoke? ______, (21) Do you drink alcohol? ______; (22) Do you chew betel nut? ______
(23) attached the following documents: (24) Height (bf): _______ cm. (25) SLF/TSC Number: _______________________

Documents Comments
1 Application Letter Original: Handwritten and signed by the applicant (Form must be received on or before 31/08/21)
Original: Includes – personal details, education (primary, high school, etc.), activities when not in school,
2 Curriculum Vitae (CV)
work experience, skills, 2 referees
CERTIFICATE OF BIRTH ENTRY that bears the stamp of the Registrar-General of PNG or The BIRTH
3 Birth Certificate (Copy)
REGISTRATION FORM that bears the stamp of the Civil Registry Office
4 Identification Photograph Your current passport-sized photograph signed at the back by you and your referee
Send a copy but original must be presented at registration. Ask a church pastor or a community leader to
confirm (by signing below) that the PNG grade 12 certificate that you are sending to Sonoma is a true
PNG HSC or PNG USSC
5 copy of the original certificate.
(PNG grade 12 certificate)
Name: ________________________ Signature: ____________________ Date: _______________
6 Transcript of Record For applicant who does not have a PNG grade 12 certificate. GPA: ___________________
7 Medical Certificate Original: Written and signed by a practicing medical doctor (current).
8 Character References (2) Original: church leader and community leader (inside sealed envelopes); use the 2 forms provided.
Written and signed by your sponsor. [Note: 2021 school fee: Ag K13100; Building K13100; Bus K13100,
9 School Fee Guarantee Letter
Min K13967; B Ed, K13967. 2022 school fee may be different.
The application fee is K30; if you are required to take the Entrance Test (English), then you pay K7.00 for
10 Application Fee Receipt the test. Deposit it in the bank: Account Name, Sonoma Adventist College; A/C #: Westpac Bank: 0290
1178 403; Bank South Pacific: 305 1000 689 124
11 Accommodation A married applicant should provide a confirmation letter from the host about accommodation.

12 Envelope Enclose a self-addressed envelope with a postage stamp.

(26) I, ___________________________________ (Print Full Name) hereby certify that all the information I have supplied in this application
form is true and accurate to the best of my knowledge. I recognise that Sonoma Adventist College is a Christian institution structured on the
principles and teachings of the Seventh-day Adventist Church. I am familiar with the ideals and principles of the SDA Church and I accept
the obligation to live in harmony with those principles, as I become part of the Sonoma campus life.
I agree not to engage in pornography, drinking alcohol in any form, smoking, chewing betel nut, using illegal drugs, or/in bringing such
substances onto campus. I accept that I will be required to leave the College should I break these regulations. If at any time, I choose to act
in such a way that the terms of this Responsibility Agreement are broken, I understand that the Sonoma Administration retains the right to
terminate my studies at Sonoma Adventist College. I promise to abide by the College rules and regulations. So help me God!
(27) Signature of Applicant: ______________________ (28) Signature of Witness: ________________ (29) Date:_____________

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