MBI Application Form | Midland Bible Institute

Legal Name *

Date of Birth *

Gender *

Male

Female

Nationality *

Country of Residence *

Time Zone *

Primary Email *

(This will be the official academic contact)

Secondary Email

Contact Number *

(WhatsApp/SMS enabled)

Government-Issued ID Type *

Passport

National ID

Driver's License

Government-Issued ID Number *

Programme Applying For *

Mode of Study *

Intended Start Semester *

Highest Academic Qualification Achieved *

If other, please specify

Previous Tertiary Institution(s) *

(Name only)

Institution Attended

Country of Institution

Year Completed

Field of Study

Upload Required Files *

Example of required files: Supporting Certificates, Character Reference Forms, Church/Pastoral Reference Form, Health Form, Boarding Form

Accepted formats should include PDF, JPG, and PNG.

Emergency Contact Full Name *

Emergency Contact Phone Number *

Relationship to Applicant *

I confirm that the information provided is accurate and complete. *

I understand that providing false information may result in withdrawal. *

I consent to the use of my data for academic and administrative purposes only. *

I agree to abide by Midland Bible Institute’s Academic Integrity Policy. *

I agree to the Privacy and Data Protection Policy. *

I agree to the Student Handbook and institutional regulations. *

Status