Srishti foundation-form2013
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Srishti foundation-form2013 Srishti foundation-form2013 Document Transcript

  • Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology esign echnologySrishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology TSrishti School of Art Design and Technology esign gy Srishti School of Art Design and Technology esign gy Srishti School of Art Design and Technology Srishti School of Art Design and TechnologySrishti School of Art Design and Technology T Srishti School of Art Design and Technology T Technology Srishti School of Art Design and Technology T Srishti School of Art Design and TechnologySrishti School of Art Design and Technology TSrishti School of Art Design and Technology T Application for Srishti School of Art Design and Technology T Technology Srishti School of Art Design and Technology T Technology Srishti School of Art Design and Technology T Srishti School of Art Design and Technology T Srishti School of Art Design and Technology Srishti School of Art Design and Technology Foundation Studies Program PASTE A RECENT COLOURSrishti School of Art Design and Technology T Srishti School of Art Design and Technology T Technology Srishti School of Art Design and Technology T Srishti School of Art Design and Technology PHOTOGRAPH HERESrishti School of Art Design and Technology T Srishti School of Art Design and Technology Technology T Srishti School of Art Design and Technology T Technology Srishti School of Art Design and TechnologySrishti School of Art Design and Technology TSrishti School of Art Design and Technology T 2013-14 Srishti School of Art Design and Technology T Technology Srishti School of Art Design and Technology T Technology Srishti School of Art Design and Technology T Technology Srishti School of Art Design and Technology T Technology Srishti School of Art Design and Technology Srishti School of Art Design and TechnologySrishti School of Art Design and Technology T Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and TechnologySrishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and TechnologySrishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and TechnologyPlease type or print in black ink. Mail the completed application forms with the completed reference form to the Srishti Admissions OfficeOffice use only APP. DATE APP. NUMBERPERSONAL INFORMATIONName first middle lastDate of Birth Place of Birth DD MM YYYYPermanent Home AddressTel No. Mobile EmailPreferred Mailing Address (If different from above)Father’s Name Mother’s NameOccupation OccupationOffice Address Office AddressTel No. Mobile Tel No. MobileEmail EmailCitizenship Indian Other (Please Specify)Local Guardian’s NameAddressOccupation Tel No. Email Srishti School of Art, Design and Technology P O Box No. 6430, Opp. Wheel and Axle Plant, Off Doddaballapur Road, Yelahanka New Town, Bangalore 560106, Karnataka Tel: 080 40447000 / 40446964 / 65 / 66 Telefax: 28560950 Email: admissions@srishti.ac.in Website: srishti.ac.in
  • EDUCATIONAL DATAList of Secondary Schools / Colleges you have attended. Please start with most recent first Date Institution and Location Marks/Grade (%) Board of Exam in Exam Passed State/ ISC/ CBSE/IB/ ‘A’ Level/ OthersDetails of Employment (if any). Please start with most recent first Date (From-To) Name of Organisation & Address Job Description & Position Salary / IncomeExtracurricular, Personal and Volunteer Activities Activity Approximate time spent Position held or Honours earned
  • ACADEMIC HONOURSBriefly list or describe any scholastic distinctions or honours you have won beginning from ninth grade (Std. IX)PERSONAL STATEMENTThis personal statement helps us become acquainted with you in ways different from courses, grades, test scores, and otherobjective data. It will demonstrate your ability to organize thoughts and express youself. Write an essay that will help us knowyou better as a person and as a student of art and design. Your essay should not exceed 500 words. Attach your essay on a separate sheet(s) (same size please) It must be hand written in black ink. Please write your full name on each sheet.CHOICE OF EXAM CENTRE (mark any 2 centres in order of preference, eg. 1-Bangalore, 2-Delhi)* BANGALORE DELHI KOLKATA MUMBAI KOCHI COLOMBO GUWAHATI*We will try, as far as possible, to give you the centre of your choice.I HEARD ABOUT SRISHTI FROM Friends or Relatives Print Ad Internet Search (specify publication) (specify search engine) School Counsellor Internet Ad Other (specify) (specify source)APPLICATION FEE DD enclosedDOCUMENTS AND OTHER REQUIREMENTSPlease submit the following with this form:1. A Demand Draft favouring "Srishti" for Rs.2500/- (non-refundable processing fee), payable at Bangalore, with your name clearly written on the reverse2. Open reference forms fully completed and signed by the referee (two references required)3. Copies of your most recent mark sheets / transcripts4. A copy of Birth Certificate5. Details of Visa (if you are not of Indian origin)6. Two recent colour passport size photos7. Personal statement (as mentioned earlier)Please note that material submitted will not be returned under any circumstances.SIGNATUREI certify that all the information in my application is factually true, and honestly presented.The personal statement is my own work.Signature Date