APPLICATION FORM FOR ADMISSION IN MASTER OF MANAGEMENT STUDIES (HERITAGE MANAGEMENT) [BATCH: 2015 – 2017] Completed forms shall be mailed to: Admissions Coordinator CENTRE FOR HERITAGE MANAGEMENT (Ahmedabad University) Asmita Bhavan Principal SV Desai Marg, Opposite H.L Commerce College Near Commerce Six Roads, Navrangapura Ahmedabad – 380009, GUJARAT, INDIA Please affix a passport size photograph here Personal Details 1. Name of the candidate: (In Block Letters) First Name / Middle Name / Last Name (Leave Block for Space) Father’s Name Mother’s Name Surname 2. Correspondence Address Address Line 1 Address Line 2 City / Town State Country Pin code Landline No.& Area Code Mobile No. of Applicant Emergency Contact No. Email (BLOCK LETTERS) 3. Permanent Address Address Line 1 Address Line 2 City / Town State Country Pin code Landline No.& Area Code Name of the Applicant:_______________________________ Page 2 of 4 4. Nationality: Indian Non-Indian 5. Gender: Male Female 6. Date of Birth (DD/MM/YYYY): / , Specify __________________ / 7. Blood Group: ____________________ 8. Application Category: General SEBC ST SC PH Defense / Ex-Servicemen J&K 9. Parent’s / Guardian’s Occupation: (Specify): ______________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Education 10. Academic Background Examination Degree/ University/ Diploma Board Principal Subjects/ Specialization Year of Passing Percentage / CGPA Secondary School Certificate Higher Secondary Certificate Graduate Post Graduate Any other (Please specify) Employment Details 11. Employment History (list only full-time employment IF APPLICABLE) Name of Employer Designation 12. Total Work Experience: Nature of Job Years - _______ From To Months- _______ Name of the Applicant:_______________________________ Page 3 of 4 CHECK-LIST for Documents to be included along with the application form: [Please check the box for documents that you are submitting] Statement of Purpose (1 page single space, 12 size standard font, 1" margin on all sides. Please see admission policy for details). -sheet of final year of graduation. (Those in the final year of graduation shall attest mark-sheets of all the previous years.) -sheets of 10th and 12th Standard -time experience), if any Government, if applied for reservation quota) Application (for J&K candidates only) Application Fees Payment Detail Cheque/ Demand Draft of Rs. 500/- in favour of Ahmedabad University, payable at Ahmedabad. DD / Cheque No. ____________ Amount: ____________________ Date: / / Drawn on (Bank Name): __________________ Submission of Application Form Duly filled and signed Application form with copies of required documents and application fees, should reach the centre, marked to the “Admissions Coordinator” by MONDAY, APRIL 20, 2015. Postal address is mentioned in the cover page of this form. DECLARATION I have carefully read the instructions on the centre's website and agree to abide by the decisions of the centre regarding my selection to the programme. I certify that the information furnished in this application form is correct to the best of my knowledge and belief. Date: _________________ Signature of Applicant: _______________ Name of the Applicant:_______________________________ Page 4 of 4