Print then Mail or Fax your registration.Questions about registration - E-mail cons@hbionline.org

1.      Name: ___________________________________________________________________________

2.       Current Address:__________________________________________________________________________
_______________________________________Pin Code: ___________________________________

Phone Number:__________________________   E-mail   : ___________________________________

3.       Permanent Address (Houseaddress):____________________________ ______________________ ___________________________________________________________PinCode________________

Phone Number:__________________________   E-mail: ____________________________________

4.      Family information:

a.                   Marital Status: ___________________      b. Wife / Husband Name :______________________

c.                   Occupation    : ___________________      d. Number of Children     :______________________

5.      Educational Qualification:                

6.      Nature of Ministry:

       Church              Evangelist           Teaching                    Other

7.      If you are a pastor ,

¨       Name of the Church __________________________________________

¨       Church Affiliation____________________________________________

¨       Total number of congregation in your church_______________________

8.       If you are an Evangelist,  

          Independent                              Under an Organization  

If Under any organization, give the name of the organization _______________________________________
____________________________________________________________________________________

9.      If you are a Bible teacher,

Name of the College _________________________________________________________________

10.  If you are not a pastor, evangelist and Bible Teacher,

Give a brief summary about the type of ministry you are involved in. ______________________________

___________________________________________________________________________________

___________________________________________________________________________________

Place:                                                                                            

Date:                                                                                                                                              Signature  

Ps. Alumni Subscription Donation :
India : Annual Rs.100/- , 15 years Rs.1000/- 
Other than India : Annual $10/- , 15 years $100/-