Student Enrollment Form


Center submission:   Yes  No

Please select mark the programme for which admission is sought :

Eligibility :

* Below SSLC:
Certificate in Theology( C. Th)

* Above SSLC:
Diploma in Theology(Dip. Th)

A.Personal Information
Name   Country 
Gender   Male  Female Date of Birth(YYYY-MM-DD)
City Door No
Street Name Pincode
Phone  Mobile
Email Id 

please select only one language

Preferred Language Of Instruction:

Bengali English Gujarathi Hindi Kannada

Malayalam Marathi Oriya Tamil Telugu

Preferred Eucation Format:

Books Internet Electronic Tablet

* Each Mode Charges Separate.
B. Family Information
Father/Guardian's Name : Occupation of
Marrital Status : Single Married
Spouse's Name: Occupation :            
C. Academic Information.
List High School,Colleges and Universities in the Order in which you Attended.
Name and place of the college / institution
Medium of Instruction
Year of Completion

Class / Division and Percentage %

Graduation Specify the Degree
Any Others
D. Christian Experience and Church Affiliation
Have you received Jesus Christ as Lord and Saviour? Yes No
If yes, when?
Have you received believers baptism? Yes No If yes, when?
Have you received the baptism in the Holy Spirit (Acts 2: 4)?   Yes   No
If yes, when?
Church Membership : Church Name
Name of the City : Denomination :
Name of the pastor :
What is your present occupation:    
Have you served in any ministerial capacity in any church or in any Christian organization      Yes No
If so, explain     
E. References

Please indicate the name and address of your Pastor who will privide a reference on your behalf. Please have these persons complete the reference forms and return them to you in sealed envelopes, include them along with the application form you send to GLOBAL UNIVERSITY INDIA.

Name of the pastor : Email Id :
Door No : Street :     
Town / City : State :      
pincode : Phone :     

I solemnly declare that all the above information is accurate and true to the best of my knowledge. I understand that any false and misleading information given above may lead to disqualification for admission or continuance at Global University India and that acceptance to Global University India is subject to review and verification of all final records from all institutions I have attended.

If admitted,
• I shall attempt to discipline myself in self study.
• I shall accept and abide by the decisions of the administration of Global University India, if my behaviour, character or doctrine   is contrary to the spirit and emphasis of GUI and understand, including the possible termination of my study at Global University   India.

Date: Signature: