Committee Members'Training Camp-2018
Organised by UESI Training Department
Registration Form
CMTC - 2018 Registration is open
REGISTRATION GUIDELINES
Last extended date of Registration: 30th April 2018 except K 3

√ All questions need to be filled

√ Initial Contribution: Rs.500/- to be sent at the time of registration.
√ Subsidized camp Fee per student is Rs. 2000/-
√ The actual expense per student is Rs. 8,000/- (the sending EU/EGF/State is encouraged to pay the subsidy amount of Rs. 5500/-)
√ Send your Initial contribution through Money Order/ Demand Draft/ Cheque to:
UESI Office, 19/10 Millers Road, Chennai - 600010
or
Deposit Cash/ Cheque/ NEFT in UESI Bank Accounts. (Please include outstation Cash Deposit Charges)

√ The Bank Account details are:
1. State Bank of India A/C No. 10332929906, Purusawalkam Branch, Chennai, NEFT Code - SBIN0001515

2. HDFC Bank A/C No. 01241000018374, Kilpauk Branch, Chennai, NEFT Code - HDFC0000124

√ Kindly send a copy of the same to Ms. Jessy Jacob, CMTC Coordinator , C -607, Kairali Apartments, Dwarka, New Delhi. Email id: cmtc.national@uesi.in

√ After filling up the form please click on the 'SUBMIT' button.

√ Proceed to the camp ONLY after getting the acceptance letter from CMTC Coordinator.

If any clarification is required, please do not hesitate in contacting the CMTC coordinator:

Personal Details
Gender *
Required
Name *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Postal Address *
Enter House No./Name, Street, Area, City, Pincode
Your answer
Email -Id *
Your answer
Contact Number *
Your answer
Category *
Choose your relevant category
Course & Year of Study/Profession *
Eg: BSc Physics, 2nd year or Give your job designation if you are not a student
Your answer
Name of your College or Institute / Place of Work (for Graduate / Coordinator) *
Your answer
Name of EU/ICEU/EGF *
Your answer
Kindly specify the EU/EGF, Place *
Your answer
Choose the State of your EU/EGF *
Choose your Native State *
CMTC DATE & PLACE
Choice of CMTC Venue: 1st Preference *
Choose the batch you prefer to attend
Choice of CMTC Venue: 2nd Preference *
Choose the batch you prefer to attend
Choice of CMTC Venue: 3rd Preference *
Choose the batch you prefer to attend
Reasons for your Preference *
Your answer
Language Proficiency: Hindi *
Very Good
Fair
Average
Understand
Speak
Read & Write
Language Proficiency: English *
Very Good
Fair
Average
Understand
Speak
Read & Write
OTHER RELEVANT PERSONAL INFORMATION
Write briefly about your Salvation experience: *
When, Where & How did you accept Jesus Christ as your personal Saviour?
Your answer
What changes did you experience after accepting Jesus Christ? *
Kindly be specific
Your answer
Explain in your own words what Salvation means to you *
Kindly be specific
Your answer
How long have you been with the EU/ ICEU/ EGF/ UESI? *
Give answer in figures and not in words
Your answer
Mention your responsibility in your EU/ ICEU/ EGF *
Your answer
Mention EU/ UESI training camps that you have attended *
Required
Write in few words your understanding about the ministry of UESI *
Your answer
What are your expectations from CMTC-2018? *
Your answer
Do you have any health issues & on any medications? *
If you are taking any medicines, kindly come with sufficient medicines and doctor's prescription for any emergencies
Your answer
Specify if there is any dietary restrictions *
Your answer
INFORMATION ABOUT THE RECOMMENDING PERSON
+ Recommendation from the Senior Advisor & the Local Staff In charge is mandatory. + Separate recommendation letter/ e-mail must come from the Senior Advisor/ staff worker directly to the CMTC- Coordinator.
Senior Advisor *
Name
Your answer
Email id of Senior Advisor *
In case senior advisor do not have an email id kindly give Email id of Staff-in Charge
Your answer
Contact Number of Senior Advisor *
In case senior advisor do not have an email id kindly give Email id of Staff-in Charge
Your answer
Staff in Charge *
Name:
Your answer
Email - Id of Staff in Charge *
Your answer
Contact Number of Staff in Charge *
Your answer
Campus Ministry Mentor
Campus Ministry Mentor (CMM) will be responsible for all necessary follow-up after the camp. CMM can be
your senior EU friend in the campus/ senior advisor/ any other senior who is an active member of the local
EU/EGF whom you can be accountable to. Kindly furnish the details below.
Name of Campus Ministry Mentor *
Your answer
Designation *
Choose whether your CMM is a student, graduate or staff worker
Email id of CMM *
Mention 'NA' if no email id is available
Your answer
Contact Number of CMM *
Your answer
CAMP FEE DETAILS (REGISTRATION & CAMP FEE)
Mode of fund *
Payment Details *
Relevant information about the payment such as the name of the sender, date, Cheque/ DD No, transactionid etc.
Your answer
Proceed to the camp ONLY after getting the acceptance letter from CMTC Coordinator
Submit
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