ONLINE REGISTRATION - PLEASE FILL OUT FORM AND SUBMIT ONLY ONCE.
(** You should receive an Registration Confirmation E-Mail within 2 working days.
   If you do not, contact Lamech Inbaraj **)

1. Name:    (First Name) (Last Name)

2. Current Address:  

House No. & Street: 
Area:
City:
Pincode/Zip:
Country:
Phone Number:
E: Mail: 

3. Permanent Address (House Address): Same as Current Address 

House No. & Street: 
Area:
City:
Pincode/Zip:
Country:
Phone Number:
E: Mail: 

4. Family information:
    a. Marital Status: Married Unmarried
    b. Wife / Husband Name : 
    c. Occupation:  
    d. Number of Children    

5. Educational Qualification:                

S.No.

Name Of  the College  

Course

Year of Passing

 

1.
2.
3.

6. Nature of Ministry:
    Church            Evangelist          Teaching                    Others 

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.

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

Send payment to:

HBI Ministries
86-89, Medavakkam Tank Road
Kilpauk, Chennai 600010, India

* Make cheques payable to HBI ministries, Chennai,India

 Contact Person:

Dr. Lamech Inbaraj
Director, CONS  Department,
HBI Ministries,
86-89, Medavakkam Tank Road
Kilpauk, Chennai 600010, India
Tel: 91-44-2642 1199/1975/3664
Email: cons@hbionline.org
Fax: 91-44-2642 3664