(DBIS) Merchant Registration Form

Divine Bible Instititute & Seminary

Affiliated Accreditation by NEW ENGLAND UNIVERSITY OF CHRIST
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Full Name

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Birth Date

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Mobile Number
Telephone Number
E-mail
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Present Address (US Residence)- Put N/A if it doesnt apply to you

Street Address

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International Residence- if you are outside the US
For students outside the United States
Person to contact in case of emergency:
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ex. Father, Mother, etc.
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Course of Study Applied for:

Select a Course
Course of Interest:
Select the Course of your Choice
Mode of study:
Fees Information:

You must give details of who be paying your fees.
Who is expected to pay your fees?
Name and address to which invoice is to be sent(if different from above)
Education:

Please give details of all Schools/Colleges/Universities attended.
List Your Educational History
Education Qualifications:
Have you previously studied in the US?
Employment:

Please give details of curent and previos employers,together with dates.
List your Employment History
Statement In Support Of Application:

This section must be completed. You should state why you want to undertake this course, any relevant experience, skills and attributes, and your long terms goals.
Type a question
Reference:

All applicants must provide one reference. The referee should be a course tutor if you have been in education within the last two years or your current or most recent employer.
Name of reference
Organization
Relationship to you
Please tell us where you found out about this course
Support Requirements:

Please complete this section if you have any learning support/mobillity requirements.
Do you have a disability, medical conditon or require learning support?
If yes,please name and give brief details:
Declarations:
Do you have any unspent criminal convictions?
A criminal record will not necessarily be a bar to obtaining a place at Divine Bible Institute and Seminary

A satisfactory Criminal Records Bureau disclosure will be required for successful applicants to courses that include placements where students work with children or vulnerable adults.
Data Protection Act 1988

I agree to Divine Bible Institute and Seminary processing the personal data contained in this form or other data that the University may obtain from other individuals. I agree to the processing of such data for any purposes connected with my studies or my health and safety whilst on the premises or for any legitimate reason, including communication with me following the completion of my studies.

In addition, I agree to Divine Bible Institute and Seminary processing personal data described as ''Sensitive Data'' within the meaning of the Data Protection Act 1988, such processing to be undertaken for any purposes as indicated in the declaration above.

Suppose my employer/sponsor is supporting my studies by paying my fees/allowing me to study. In that case, I agree to my employer/sponsor being informed of the progress of my application and of my studies if I am accepted onto the course.
Pastors Name

First NameLast Name
Name of your current Church
Church Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
EMail
example@example.com
Church Telephone Number
Format: (000) 000-0000.
Integrity & Plagiarism Warning
At Divine Bible Institute and Seminary, we are committed to upholding the highest standards of academic integrity and spiritual accountability. Plagiarism—the act of presenting someone else's work, ideas, or words as your own without proper acknowledgment—is a serious violation of these principles.

All assignments, essays, projects, and exams must reflect the student's original thought, supported by properly cited sources where applicable. The use of artificial intelligence, copy-paste content, or unreferenced third-party material is strictly prohibited unless expressly permitted by the instructor.

Consequences of Plagiarism Include:
An automatic grade of “F” on the plagiarized assignment
Possible failure of the entire course
Academic probation or disciplinary review
Disqualification from honors or scholarship eligibility
Notification to the Academic Dean for repeated offenses
To Avoid Plagiarism:
Always cite your sources using approved formats
Use quotation marks for direct quotes
Paraphrase responsibly and give credit
When in doubt, ask your instructor

Educational integrity is not only a matter of Divine Bible Institute and Seminary policy—it is a matter of Christian character. We encourage all students to “study to shew thyself approved unto God” (2 Timothy 2:15 KJV) with honesty, diligence, and accountability.
Signature of Applicant

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🏛️ Accreditation Statement

Divine Bible Institute and Seminary is an accredited independent academic partner of New England University of Christ (NEUC). Divine Bible Institute and Seminary is not an extension campus of NEUC, but operates as an independent institution in academic partnership with New England University of Christ.Through this partnership, Divine Bible Institute and Seminary maintains a commitment to biblical truth, academic excellence, Christian leadership development, ministerial preparation, and spiritual formation. Our curriculum is designed to equip students for effective service in the local church, the marketplace, missions, chaplaincy, and global ministry.Students enrolled at Divine Bible Institute and Seminary benefit from a Christ-centered educational experience that emphasizes:Sound biblical doctrine and theological integrityAcademic excellence and ministerial competencySpiritual formation and Christian characterPractical ministry training and leadership developmentPreparation for lifelong service in the Kingdom of GodThis partnership supports our mission to provide quality theological education that is spiritually enriching, academically respected, and ministry-focused while preparing students to fulfill God’s calling with excellence.For additional information regarding our academic partner, contact New England University of Christ administration. Divine Bible Institute and Seminary is an authorized academic independent partner of New England University of Christ. Degree programs are offered in accordance with the academic policies and standards established through this partnership.
By submitting and signing this document, I agree that photos and testimonials can be used for administrative and marketing purposes
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