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VOC THEOLOGICAL INSTITUTE-INDIA

A Unit of Voice Of Christ Ministries (India),

Accredited by Nations Association For Theological Accreditation(NATA)

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APPLICATION FORM

PERSONAL DETAIL

Name                       :

Address In Full         :

Date Of Birth            :

Contact No.              :

Baptism Date           :

Jaideep Dwarika

Hn. 2B/357, Near St Marry Academy, Mission Compound, Saharanpur: UP

17 Feb 1993

7983663825

1 Mar 2009

QUALIFICATION DETAIL

Secular                    :

Graduate

Theology:

NA

CHURCH DETAIL

Church Name and Address:

CNI CHURCH, Mission Compound, Saharanpur

Position In Church:

Laymon

COURSE DETAIL

Course Applied:

Medium:

English

DECLARATION

I Hereby declare that all the Information furnished in Application Form is True to the best of my Knowledge

Applicant Signature:

Date:

5 September 2022 at 5:22:54 pm

Place:

Authorized Signatory 

ADMISSION STATUS:

Confirmed

Session:

2022

Father's name

Prem Sagar Dwarka

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Registration No

032 of 2022

Sex                          :

Male

B.D.

Course Fee:

2500/- Paid

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Saharanpur

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Kongba Uchekon, PO-Singjamei-795008, Imphal, Manipur, North East India

Contact No-8258925825 , E-mail: voctiindia@gmail.com, www.voctiindia.com

All Right reserved at  VOC Theological-India 

Note This is Computer generated application form Please Print it and have a record 

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