SCHOOL OF THE HOLY SPIRIT

Berachah Prophetic ministries,81,4th Cross st,

Senthil nagar,Kolathur,Chennai - 600099

Off : Ph:+ 91-44-26501290/26501390. Email:info@ezekiahfrancis.org

APPLICATION FORM

Affix

Passport Size

Photo

1. Name (in block letters) :

2. Address with Phone No. :

3. Age & date of birth :

4. Marital status : married / single

5. Educational Qualification

& Occupation :

6. Church you attend :

7. Pastor’s name & Address :

8. Date of salvation :

9. Date of Holy Spirit Baptism :

10. Extra curricular activities :

11. Languages you know :

12. Your present involvement

in the ministry :

13. Have you attended any of our

programmes ( If so, list them) :

14. Why do you want to

attend this school :

15. Do you have physical

or mental disability or chronic disease :

16. Name & signature of the

person who recommends you :

17. Do you have any addiction? :

I will abide by all the rules and regulations of the school.

Signature of the candidate