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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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CHECK YOUR DETAIL

PERSONAL DETAIL

Name:

Address In Full:

Date Of Birth:

Contact No.:

Baptism Date:

Dipankar Basumata

Vill+Po-Marakhata, Dist-Alipurduar, Ps-Kumargram, Pin-736202, State-West Bengal

23/5/93, 5:30 am

9064458578

19/12/93, 5:30 am

QUALIFICATION DETAIL

Secular :

Graduation

Theology:

M.Div

CHURCH DETAIL

Church Name and Address:

Presbyterian Independent Church; Vill-Paschim Chengmary, Po-Marakhata, Dist-Alipurduar, Ps-Kumargram, Pin-736202, State-West Bengal

Position In Church:

Worshiper

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:

15 January 2023 at 10:36:17 pm

Authorized Signatory 

Place:

COURSE & FEE:

Session:

2023

M.Th.-Rs. 3000/Sem

Father's Name:

Darendra Basumata

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Registration No

041 of 2022

Sex:

Male

M.Th

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Vill+Po-Marakhata, Dist-Alipurduar, Ps-Kumargram, Pin-736202, State-West Bengal

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All Right reserved at  VOC Theological-India 

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

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

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

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