2. Preferred Centre to take Policy Aptitude Test (circle one centre where you want to take

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1 NATIONAL LAW SCHOOL OF INDIA UNIVERSITY NAGARBHAVI, BANGALORE (Old Pin ) Tel. No , , ; Tel. Fax: / APPLICATION FOR ADMISSION TO MASTERS PROGRAMME IN PUBLIC POLICY (MPPP), Photograph (Passport Size) Before filling the application form, please read the general instructions carefully on page 6 of the application form. 1. Name (in Capital Letters as entered in School Certificate ) SEX 2. Preferred Centre to take Policy Aptitude Test (circle one centre where you want to take the test; Read item 2 on page 6): Bangalore / Delhi / Kolkata / Mumbai 3. Date of Birth DD MM YYYY 4. Place of Birth 5. Nationality 6. Whether you SC belong to Indian (Enclose ST certificate) OBC NRI/Foreign National 9. Official Address (if employed) (BLOCK LETTERS) 7. Residential Status 8. Physically Challenged (Enclose Certificate) Rural Urban Yes No State: Pin Code: Telephone No. with (STD) Code: Mobile: Residential Address (BLOCK LETTERS) State: Pin Code: Telephone No. with (STD) Code: Mobile : Please indicate the address for communication : OFFICIAL (including the ) RESIDENTIAL 1

2 11. Academic Qualification/s: (starting from Class 10 education) Detail(s) of Education Year of Passing University / Board Percentage of marks or grade obtained Annexures Please enclose self-attested photocopies of the certificates of educational qualifications, and mark the copy with an annexure number in the last column. 12. Employment History Name of Employer / Profession / Institution Designation From To Specific Responsibility Annexures Please enclose copy of the appointment order or experience certificate provided by the employer. Mark the annexure numbers on these copies as continuation of item number 11 and enter the respective number in the last column. 2

3 13. Engagement with public Issues (Write in not more than 200 words about your engagement with any of the Public Issues) 3

4 14. Statement of Purpose (Write in not more than 200 words as to why you want to pursue Masters Programme in Public Policy (MPPP) at NLSIU, Bangalore ) 4

5 15. Application Fee This application should be accompanied by Demand Draft of Rs.1,000 (One Thousand Rupees only) towards application processing fee. This is non-refundable. The details of the Demand Draft are to be entered below. We regret that no other modes of payment towards application fee are possible. Application fee for Foreign Nationals is USD 150. Details of the application fee paid: Name of Bank Demand Draft Number/ NEFT Transfer Details Demand Draft Date / NEFT Transfer Details Amount Roll No. of the student I hereby undertake to abide by the Regulations and Rules prescribed by the University from time to time. Date: Place: Signature of the Applicant 5

6 Instructions to fill the application form for the admission to Masters Programme in Public Policy 1. You need two passport size photographs. One is to be affixed on page 1 and another on for Admit Card for Policy Aptitude Test. 2. For the information on belonging to special categories (no. 6 and No. 8) you need to submit certified copies by competent authorities. 3. Address (item 9 & 10): Specifying the address for communication is important since Admit Card will be sent to this address. 4. For item 11 where information is provided for educational qualifications, make reference to annexures (the photocopies of the certificates) which are numbered in order and attached with the application form. If degree certificate is not issued by the University, a provisional certificate is to be attached. If not, mark sheets for all the years should be submitted. 5. For item 12 where information on employment history is provided, please number the annexures (the offer letter of employment or experience certificate as provided by the employer) as continuation of item 11. If there is no documentary certificate to be added to the list of annexures, please do not add an entry to the employment history. 6. In the items 13 & 14 provide descriptive and precise statements which are reflective in nature. These items should demonstrate the capability of the candidate to organise thoughts as well as ability to articulate materials about oneself in modest, realistic but in persuasive manner. 7. In the section on Admit Card (Item 15) fill your name, date of birth and sex. Affix a passport size photograph. Rest of the items will be filled by the Admission Coordinator and sent to you in the address provided as address for communication. If you do not receive admit card by 25 April 2017, please contact us on admission4publicpolicy@nls.ac.in. 8. In addition to the application form, we encourage you to submit a two page Curriculum Vitae (CV) in any of the desired formats. However, do not repeat the information provided in the application, such as educational qualifications and employment history. CV should be used as an opportunity to spell out some achievements that may not be captured in the application format. 9. Send the Demand Draft of Rs.1000 (in favour of Registrar, National Law School of India University payable at Bangalore) along with the application form. Enter the details of Demand Draft in item no. 16 Send the duly filled application form and list of annexures as listed above to: Admission Coordinator, Master of Public Policy, National Law School of India University, Nagarbhavi Bangalore Tel ; Mob Note to mark the packet containing the application with MPP Application Last Date to receive application form: 18 April

MAR BASELIOS COLLEGE OF NURSING, BHOPAL

Form No. MAR BASELIOS COLLEGE OF NURSING, BHOPAL APPLICATION FORM B Sc Nursing (2018-19) Affix latest passport size photograph All entry should be filled in Capital Letter. Leave one blank box between