Center for Biblical Formation - Our Lady of Zion Center for Biblical Formation - Our Lady of Zion Center for Biblical Formation - Our Lady of Zion    
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APPLICATION FORM
 
Please fill in and print this form

I wish to apply for the following study program:


   24 September – 18 October, 2008 – 25 Days: “In The Footsteps of Jesus”

  27 January – 14 May 2009 – Four Month Program

  3 June – 30 June 2009 – One Month Program on Gospel of Luke

   7 September - 4 October 2009  – Four Week Program: "In the Footsteps of Jesus"
 
Name
Father's name
Grandfather's name
Passport no.
Valid until
Nationality
Address
Date/place of birth
Email  
Tel. no
Tel. no
FAX no
Country/code/Number
 
Medical or dietary needs
Do you have special medical or dietary needs?
(We cannot provide for unusual dietary needs).    
Yes
No
If yes, indicate:
.
  
This application form must be accompanied by
  1. a medical certificate(use form enclosed)
  2. a personal resumée
  3. a letter  of recommendation
  4. three passport photos
  5. a non - refundable registration fee of $US 100.00
  6. a photocopy of passport (Photo page)
  7. an insurance that Medical insurance is in place

 ____________________________________
Signature
 
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