UTI Admission Form

• Student Registration Form

  Fill out the form carefully for registration
• Which programme are you applying for? (Advance Certificate, Diploma, Bachelor of Divinities, PGD, Master of Divinities)
• Student Name
  Surname First Name Other Names
• Birth Date
  January February March April May June July August September October November December Month 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Day 2022 2021 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997 1996 1995 1994 1993 1992 1991 1990 1989 1988 1987 1986 1985 1984 1983 1982 1981 1980 1979 1978 1977 1976 1975 1974 1973 1972 1971 1970 1969 1968 1967 1966 1965 1964 1963 1962 1961 1960 1959 1958 1957 1956 1955 1954 1953 1952 1951 1950 1949 1948 1947 1946 1945 1944 1943 1942 1941 1940 1939 1938 1937 1936 1935 1934 1933 1932 1931 1930 1929 1928 1927 1926 1925 1924 1923 1922 1921 1920 Year
• Gender
  Please Select Male Female N/A
• Address
  Street Address

  Mailing Address

  City State / Province

  Postal / Zip Code
• Student E-mail
  example@example.com
• Mobile Number
• Phone Number
• Work Number
• Marital status
  (single, Married, Widowed, Divorced)
• If married: Write name of Spouse
• Date of Marriage....Age of Children (if any)
• If single, do you expect to marry during your time of study at UTI? Yes or No
• Are you in stable health for studies? Yes or No
• If No, what are your physical problems?
• How do you plan to sponsor your studies at UTI?
• Applicants must list below all schools, colleges and universities attended. Please make sure that you send certified copies of all credentials obtained at these institutions. Any falsified documents will result in being expelled and reported to Church authorities for approximate discipline.
• Which denomination do you belong to?

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  Church Membership
• Name of your Pastor?
• Address
• Have you been baptized? Yes or No

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  OCCUPATION
• What is your occupation?
• What is the position you hold in this office and how long?
• Present Employer's name and Address:

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  REFEREES
• 1. Referee: Name and Address
• 2. Referee: Name and Address

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  Other Requirements
• Have you ever been convicted by a court of law? Yes or No
• If Yes, for what offence/s?
• Have you ever been disciplined by your Church? Yes or No. If Yes, for what reasons?
• Why do you want to come to UTI?
• What are your beliefs about the Bible?
• Do you consider yourself a Christian? Yes or No. If Yes, on what basis?
• How did you become a Christian and what the Lord means to you today?
• File Upload
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  NOTE: PLEASE SCAN AND SEND COPIES OF CREDENTIALS TO: WHATSAPP 08139210901 OR EMAIL: ocalixtus@gmail.com
• Date
  - Month - Day Year

  Date
• File Upload
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  Drag and drop files here

  Choose a file

  Upload signature in jpg

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• Additional Comments (if any)
• Should be Empty:

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