Personal Data of Spouse/Fiancé(e)  
 First Name   Last Name   Area Code   Phone Number   
Marriage Details
Date of Legal Marriage:   Date   
   City Council    Church    Customary         
Have you been married before?   Yes    No    
If yes;
How many time's      
Date of last marriage      
Date(s) of Divorce(s)      
Number of Children from previous marriage      

If married before, do you pay alimony or child support?
Yes    No    If Yes, include this amount, if No explain   
Do you have children out of wedlock?   Yes    No       
How many do you support?      

Spouse's Spiritual Details
Is your spouse born again?   Yes    No    
Will your spouse be attending RBTCZ?   Yes    No   
Has your spouse previously attended RBTCZ?   Yes    No    
 If Yes, which year?   FIRST YEAR    SECOND YEAR    
Did your spouse graduate?   Yes    No    
Is your spouse in agreement that you attend RBTCZ?   Yes    No    
If No, explain why      
Will your spouse (and your dependent family) be residents with you while you attend RBTCZ?   Yes    No    
(We encourage married couples to be in residence together from registration to graduation. We do not encourage the separation of families in order for you to attend RBTCZ)     

Will you be responsible for any dependent(s) during your period of studies?    Yes   No    

If Yes, give details of dependents whom you will be supporting as breadwinner using your earnings, e.g. children or relatives such as grandparent(s   Name and Surname   Age   Relationship   

Answers will not be used as grounds to decline any applicant’s entry into RBTCZ. These answers will be kept confidential by RBTCZ

Are you presently taking any medication?          
If Yes, What type of medication/drug(s)      
How often do you take it?      
Name of the attending physician      
(If you are currently on any medication for any sickness or disorder, a letter of recommendation from your doctor must accompany this application).

Have you taken any drugs for a long period?      
Do you have any known drug allergies?     
Do you have physical disabilities?      and would you require special facilities?       

 
If Yes, explain briefly:      

If Yes,
Employers Address     
Employers Phone number   Area Code   Phone Number