APPLICATION FORM Year ........................... Batch ........................... AFFIX YOUR PHOTOGRAPH HERE YOUR FUTURE STARTS HERE. NOW. Fill up all the details in block letters. Application which is not complete in all respects is likely to be rejected Do not leave any field vacant in the form. Mention NA as the case may be. COURSE APPLIED FOR Tick the applicable option. Regular Crash Online Name of the Course PERSONAL INFORMATION Name Father/ Mother /Guardian's name Date of Birth Day___/Month___/Year_____ Gender Male Female CONTACT INFORMATION Permanent address City State Country Pin Nationality Email id Tel. Res Mobile: Correspondence Address City State Country Pin Tel Mobile: EDUCATIONAL EXPERIENCE Start with 10th & attach copies of latest Certificate 10th /12th / Degree Subjects Qualification Year of Passing Score LANGUAGES KNOWN Language INSTITUTE OF PHOTOGRAPHY [email protected] Read KARIMPANY P.O, MATTAKKARA KOTTAYAM, KERALA, INDIA -686 564 To Reach Us Write CREATIVE HUT Express and Explore your Creativity +91-85 890 85 220 | +91 85 470 44 220 Speak CREATIVE HUT www.creativehut.org EQUIPMENT INFORMATION If any equipments you have? Camera Model Kit Lens Zoom Lens Wide Angle Lens Tele Lens Macro Lens U.V Filter Polarized Filter ND Filter Extension Tube Convertor Tripod Laptop External Hard Disk Others PROFESSIONAL EXPERIENCE If any please write about your last experience Company Name Designation Responsibility Duration WHO SAID ABOUT US? Tell us how you knew about Creative Hut Students Newspaper Magazine Search Engine TERMS & CONDITIONS 1. Fees once paid is non- refundable and non transferrable. 2. Rights to admission are reserved with CREATIVE HUT. 3. Students from outside Kerala and or students without permanent address proof of Kerala, should submit Police Verification Certificate or letter from their nearest police station. 4. Admission of any student is non transferable. 5. Mobiles are strictly banned in Class and Campus. 6. Alcohol, drugs, smoking, etc... are strictly banned in Class and Campus. 7. Students found misusing campus and residential area, violating the rules of the institute, disobeying the faculties and institute will be immediately dismissed and his/her Candidature will be cancelled without any further notice. Website Friends Social Media MUST SENT OR BRING 1. The following certificates in original should be submitted at the time of admission a. Date of birth Verified b. Evidence of qualifications Verified c. Two passport size photograph Verified d. Letter from Nearest Police station (Outside Kerala students only) Verified e. DD for Rs.1000/- in favour of Creative Hut, Payable at Ayarkunnam 2. With the application form for admission, photostat copies of S.S.L.C. Book’s first page, mark sheet & other qualification’s certificates, address proof must be furnished. 3. All disputes are subjects to the Kottayam, Kerala jurisdiction DECLARATION We hereby declare that 1. We have gone through the Prospectus of the Institute and are satisfied ourselves about the course & way of learning and rules and regulations. 2. All the statements made in this application are true and in case any of the particulars furnished by us are found false or incorrect or suppressed to, then the application at any stage is liable to be summarily rejected and if the applicant has already joined the institute, student may not be allowed to continue with the classes. Name of the Candidate INSTITUTE OF PHOTOGRAPHY [email protected] Signature Date KARIMPANY P.O, MATTAKKARA KOTTAYAM, KERALA, INDIA -686 564 To Reach Us Place CREATIVE HUT Express and Explore your Creativity +91-85 890 85 220 | +91 85 470 44 220 CREATIVE HUT www.creativehut.org