Full name *

Date of birth *

Age Worked out from your date of birth.

Nationality *

Ghana Card / Passport no.

Phone / WhatsApp number *

Email address *

Residential address *

Name of church / ministry

Name of senior pastor / minister

Church location

Name of institution *

If yes, state the institution and programme

Programme *

If yes, please provide details

What do you hope to gain from this programme? *

If yes, briefly describe your experience

Name *

Relationship *

Phone number *

Alternative phone number

Name of referee / pastor *

Position *

Church / organisation *

Phone number *

Email

Relationship to applicant *

I hereby declare that the information provided in this registration form is true and accurate to the best of my knowledge. I understand that admission into the School of Deliverance and Healing carries spiritual and ethical responsibilities.

I agree to abide by the rules, regulations, policies, and standards of the School of Deliverance and Healing and to conduct myself in a manner consistent with Christian faith, integrity, discipline, and respect.

Applicant’s full name * Type it exactly as in Section A.

Date *