Admissions

Admission Application Form

Study Program Applying For

General Information

Name Address

City State Pin Code

Phone Email

Date of Birth

Marital Status SingleMarriedGender MaleFemaleOther

Do you require hostel facility?

YesNo

Church Information

Home Church

Pastor’s Name Church Affiliation

Address

City State Pin Code

Phone Email

Website

Application Information

How did you come to know about HITHA?

What is the reason why you chose to apply to HITHA?

Educational and Professional Information

Occupation

Name of the Employer

Highest Educational Qualification Year of Completion

Name of the Institution Studied

Academic and Professional Information

Write briefly about your academic credentials

Write briefly about your professional experience

Personal Affirmation

I, , declare that all the information given in this form by me is true, complete, and accurate to the best of my belief and knowledge, and I understand that any information furnished above, if proven false or incorrect, will automatically disqualify me from being admitted to, or continuing at HITHA. I solemnly pledge to observe all regulations and maintain academic standards of HITHA. I also pledge to maintain a high standard of Christian code and conduct and a spirit of unity and love.

Signature

Date

I, , hereby affirm that I have accepted Jesus Christ as my Savior and Lord and have surrendered my life for all that HE desires to do in and through me for HIS glory.

Signature

Date

Please affix your latest photograph:

Digital Signature

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