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Tata-Dhan Academy
Registration No :
thApplication for 14 Programme in Development Management (PDM XIV) : 2013-2015
/Home Address (With Father’s Name)
Guardian’s Name/Address in Tamil Nadu / Andra Pradesh / Karnataka
T. Malaipatti, Thenkarai B.O., Mullipallam S.O., Sholavandan , Vadipatti (TK), Madurai District 625 207.Tel: 04543-293405; Fax: 2602247; Email : [email protected]; [email protected]
(Via)
Instructions
¥ Please read carefully before completing.
¥ Fill in the application in your own handwriting with a ball-point pen.
¥ Incomplete application will not be considered.
¥ Write the name and location of the nearest telegraph office without fail.
¥ Don’t leave any box or column blank. Write NA if ‘Not Applicable’.
¥ Last date for the receipt of filled-in application is
December 15, 2012.
Name: Name:
Father’s name:
3. Education
4. Work Experience
Date and Year Employer’s Name &
Location From To
Job Title Nature of Job
1. Date of Birth 2. Details of Registration Fee Payment
Date Month Year
Age :st(as on 1 July 2013)
Marital Status :
Are you a first graduate from your family : Y N
Bank & Branch
DD No. Date:
Amount
Application and Registration Fee Rs. 300/-
5. Extra Curricular Activities
Secondary School (10th)
Higher Secondary School (10+2)
Bachelor’s Degree in
Master’s Degree in
Qualification Name of the College/ University and Location
Month & Year
From To
Marks/OGPAobtained
Percentage ofMarks
Languages Speak Read Write
6. Languages Known
The Hindu
Down to Earth
Economic & Political Weekly
Vernacular Newspaper
Friends
Seniors
Poster
College / Faculty
Website
Others
8. What other courses you applying to ?
9. What is your ambition in the next five years? (Not less than 300 words)
are
7. How did you come to know about this course?
(put a ü mark in appropriate box)
10. What do you know about Tata-Dhan Academy? How did you come to understand about the Academy? (Not less than 300 words)
11. Why do you want to pursue your career in the development sector? Narrate an incident which made you to decide to be in the sector. (Not less than 300 words)
12. Write about yourself and your family. (Not less than 300 words)
Tata-Dhan AcademyDevelopment Management Admission Test (DMAT), 2013
DMAT Date : Time : 10.00 a.m. - 1.00 p.m. Admission Coordinator
Name :
Centre Name &Address :
Registration Number :
Admit Card
13. Write your commitments in the family and expectations of your parents.
14. Check the following before sending the filled in application (put a ü mark)
Filled in admit card
Self-addressed envelope
Signature
Demand Draft
Self-attested photographs affixed in application
15. Declaration
I hereby confirm that to the best of my knowledge, the information I have provided in this application is complete and true
Date : Signature
(For office use only)
Registration Number
DAMT Score
Part A
Part B
Group Discussion
Rank
Sec 1 Sec 2 Sec 3 Net Score :
Part C
Personal Interview Aggregate Score
Selected Y N
Instructions for DMAT
¤ Report at the centre by 9:30 a.m.
¤ Admit card has to be produced for attending the test
¤ Bring HB pencils, eraser, and sharpener for the test, besides a ballpoint pen
¤ Use of calculator and mobile phone is not permitted