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    Application Form Distance New Doctral Degree

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    Application Form Distance New Doctral Degree

    Uploaded by

    abe bayo
    5 views2 pages
    Applied

    Original Title

    Application-Form-Distance-New-Doctral-Degree

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    5 views2 pages

    Application Form Distance New Doctral Degree

    Uploaded by

    abe bayo
    Applied

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
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    LEADSTAR CHRISTIAN UNIVERSITY Attach two

    OFFICE OF THE REGISTRAR Recent


    STUDENT APPLICATION FORM Passport Size
    DOCTORAL DEGREE ONLINE PROGRAM Photographs

    This application form must be submitted to the Office of the Registrar on or before the application date
    deadline. The form must be completed, signed and accompanied with original and photocopies of the necessary
    documents, two
    recent photographs (3 x 4) and bank deposit slip. Applicants should collect their original documents after the
    documents have been cross checked with the photocopies submitted.
    1. Year of Admission: ________________ Center: _________________ Batch
    2. Preferred Field of Study
    Please choose one of the following fields of study currently available at the Leadstar Christian University
    Program: Doctoral Degree

    Doctor of Leadership

    Doctor of Community Development

    Doctor of Theology with special Concentration area


    Biblical Studies Mission Homiletics

    Personal Information
    Full Name:
    In English: ______________________/____________________________/______________________________
    Applicant’s Name Father’s Name Grand Father’s Name

    Sex:  Male  Female


    Date of Birth
    ______/_________/_________ ______/___________/________
    In E.C. [DD MM YEAR] G.C. [DD MM YEAR]

    Contact Address

    Mobile/Cell Phone: ___________________/______ _______________ Office Telephone: _____________

    Home Telephone: ___________________ P. O. Box: ___________ e-mail:

    . Agreement
    I hereby certify that all information given on this application form is true. I am for any. I am personally responsible and
    aware of the university’s action against me including Dismissal at any time of my study at the universities, if the information
    has been given is false and the documents submitted are forged documents. I am quite aware that I cannot make any claim
    of reimbursement of whatever fee paid in case of measures leading to my suspension or dismissal from the university .I also
    pledge to observe and abide to all rules and regulations of the university including those of my department.

    Applicant’s Name: ________________________________ Signature: _________________


    Date of application: ___________/_________/___________
    LCU P.O. Box 2033/1250, Addis Ababa
    [DD MM YEAR]

    LCU P.O. Box 2033/1250, Addis Ababa

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