Application Form Distance New
Application Form Distance New
Application Form Distance New
This application form must be submitted to the Office of the Registrar on or before the application date
deadline. The form must be completed, signed and accompanied with original and photocopies of the necessary
documents, two recent photographs (3 x 4) and bank deposit slip. Applicants should collect their original
documents after the documents have been cross checked with the photocopies submitted.
Modality
DISTANCE ONLINE
2. Personal Information
Full Name:
In English: ______________________/____________________________/______________________________
Applicant’s Name Father’s Name Grand Father’s Name
Date of Birth
______/_________/_________ ______/___________/________
In E.C. [DD MM YEAR] G.C. [DD MM YEAR]
Contact Address
Mobile/Cell Phone: ___________________/______ _______________ E-mail:
Diploma in
Pastoral Theology
Bachelor of Leadership
Bachelor of Management
Language (for undergraduate program): English Amharic Oromiffa
Agreement
I hereby certify that all information given on this application form is true. I am for any. I am personally responsible and
aware of the university’s action against me including Dismissal at any time of my study at the universities, if the information
has been given is false and the documents submitted are forged documents. I am quite aware that I cannot make any claim
of reimbursement of whatever fee paid in case of measures leading to my suspension or dismissal from the university .I also
pledge to observe and abide to all rules and regulations of the university including those of my department.