MT. OLIVES MINISTERIAL BIBLE INSTITUTE (MOMBI) APPLICATION FOR GRADUATION Office of the Registrar - Bachelor’s, Master's, Doctoral Degree Mailing address : 5, Raji Street Okokomaiko, Lagos - Nigeria, WA 23401 Web: www.mombi.org Please print in ink and submit to the above address Graduation Date: _______________________________________ Date of Application: ________________________ Student ID #:__________________________________________ Degree: ____________________________________________ Name: _______________________________________________ _________________________________________________________ e.g. Master’s Degree Title of Program (e.g. Master’s Degree in Christian Leadership) ____________________________________________________ Graduate Advisor’s Name (if, applicable) ____________________________________________________ City State Postal Code ____________________________________________________ Daytime Telephone Number where you can be reached. ___________________________________________________ Address to Which You Want Degree Mailed (if different from mailing address) ____________________________________________________ City State Postal Code Please indicate if you would like your name listed in the commencement program and notification sent to the media / newspaper, CREDIT ________________ ______________________________________________________________________ ______________ ________________ ______________________________________________________________________ ______________ ________________ ______________________________________________________________________ ______________ ________________ ______________________________________________________________________ ______________ ________________ ______________________________________________________________________ ______________ Total____________________ I am applying for graduation with the understanding that changes in this application after it has been completed may delay the date of my graduation. Please indicate whether or not you will attend the ceremony I WILL attend I WILL NOT attend I understand that it is my responsibility to ensure that official documents are attached and or on file with the Admissions office n order to process my graduation application Signature:______________________________________________________ Date: ______________________________________________ Local phone: ___________________________________________________ Email: ______________________________________________ Students who do not graduate will be automatically added to the next commencement list and billed for the appropriate fees.