INDORE SCHOOL OF SOCIAL WORK 13-14, Old Sehore Road, Indore-452001 (M.P.) (Affiliated to the Devi Ahilya University, Indore) APPLICATION FOR ADMISSION ADMISSION INFORMATION Any person who has obtained the bachelor’s degree of the Indore University, or a degree of another University recognized as equivalent there to, with not less than 45% marks in the aggregate average, is eligible for admission in MSW course. Any person who has completed the Higher Secondary of CBSE or State Boards with an aggregate percentage of 50% is eligible to apply for BSW course. All applications for admission to the school must be submitted on the prescribed form, and accompanied by the Entrance fee of Rs. 500.00(Rs. 450 cost of the prospectus and Rs.50 test fee) so as to reach the office of the School not later than the prescribed last date. If sent by M.O the M.O. receipts must be attached with the application, if sent by P.O./DD it should be crossed and drawn in favour of the Principal, Indore School of Social Work).For BSW course the entrance fee is Rs. 300 only. Tick mark the course applied for: MSW BSW PGD-HRD Ph.D. in Social Work/Sociology Photo Year: ………………………… 1. Full name of the candidate: (In BLOCK Letters) Shri/Smt/Kumari ………………………….. 2. Age as on last birthday: ……………………………………………… 3. Highest Univ. degree obtained ……………………………………………… Degree Subject Division Year University 4. If studying in college now, or if enrolled for any course, name class/ course ………………………………………………… ………………………………………………… 5. Full permanent address …………………………………………………… (In BLOCK Letters) …………………………………………………… …………………………Phone…….……………. 6. Present address. (if different from 5) …….…………………………………………… …………………………………………………. ….………………………………………………. (All communication will be sent to this address unless instructed otherwise) 7. Mother tongue 8. Academic qualifications: Name of the Institution: Start with Hr.Sec. or equivalent : …………………………………………………… (From School-leaving onwards): Year of Name of Qualification Class or Passing School/University Obtained Division Marks Aggreg Obtained ate or (out of) Percent age Subject offered Attested Copies of Certificate and marks-sheet of bachelor’s degree/Higher Secondary obtained must be attached in support. 9. Institution last attended: ………………………………………………………………………… 10. Father’s Name: …………………………………………………………………………………... 11. Father’s Occupation and address: ………………………………………………………………. Phone No (Mobile)………………………………….. 12. Monthly Income: ……………………………………………………………………………….. 13. Guardian’s name, address and occupation: …………………………………………………... (If father not alive) and his relation with……………………………………………………….. the applicant …………………………………………………… 14. Marital Status: Unmarried/ Married/ Widowed/ any other (Specify) (Strike out words not applicable) 15. Whether belonging to the Scheduled Caste/ Scheduled Tribe/ Backward Class: Yes/No if ‘yes’ specify : 16. What languages can you Read :………………………………………………………………….. Write. ………………………………………………..………………. Speak………………………………………………………………… 17. Whether suffering from any physical handicap or not? 18. Special Paper preferred: State in order of preference. The Choices are 1. Labour Welfare and Personnel Management 2. Medical and Psychiatric Social Work 3. Urban and Rural Community Development (Seats in L.W. & P.M. are limited) Admission to this will be strictly on the basis of marks obtained in M.SW Prev. examination. (Only for those candidates applying for M.SW) 1. Choice………………………………………………………………………………………… 2. Choice………………………………………………………………………………………… 19. Have you ever been gainfully employed? If so, give details. 20. Name games, Hobbies and Cultural activities of interest to you a) Games…………………………………………………………………………………………. b) Hobbies………………………………………………………………………………………. c) Cultural activities……………………………………………………………………………. 21. Have the following documents been attached? Check Carefully: 1. 2. 3. 4. 5. 6. 22 23. Receipt of Entrance Examination Fee Yes/No Attested copy of marks obtained at the Higher Secondary/ bachelor degree examination Yes/No Attested copy of degree certificate/provisional certificate Yes/No Attested copy of Transfer Certificate (for candidates from the University Indore) Yes/No Migration Certificate in original (for candidates from a University other than Indore) Yes/No Attested copies of at least two testimonials (One of them from the Principal of the College last attended) Attach biographical statement of approximately 500 words covering the following question: your family background and School, College life, your assessment of your own abilities and short-comings; reason for choosing social work/ HRD as a career, your field of social interest; any specific plan that you have for your future after completing the course in social work. I declare that I have neither withheld any information nor given false information on any point in this application. I certify that all statements made in this application are true. Date:……………………….. 24. Signature of Applicant I hereby declare that I take full responsibility for the good conduct of my ward Shri/Shrimati/ Kumari……………………………………………………………………and should he/she be involved in misbehavior, inadequate attendance in class, indiscipline, the authorities of the Indore School of Social Work may take any disciplinary action thought necessary by them. Date:……………………….. Signature of Guardian For Office use only Entrance test fee received or not? …………………………………………. Date………………………... Receipt No. and date and whether MO/PO/Cash/DD. Action taken: Signature
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