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Srishti professional diploma-form-2013
 

Srishti professional diploma-form-2013

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    Srishti professional diploma-form-2013 Srishti professional diploma-form-2013 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 Technology 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 T Technology Srishti School of Art Design and 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 Technology PASTE A RECENT COLOURSrishti School of Art Design and Technology TSrishti School of Art Design and Technology T Professional Diploma Program Srishti School of Art Design and Technology T Technology Srishti School of Art Design and Technology Technology T Srishti School of Art Design and Technology Technology T Srishti School of Art Design and Technology Technology T Srishti School of Art Design and Technology PHOTOGRAPH HERE 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 Technology T 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 Gender DD MM YYYYCitizenship Indian Other (Please Specify)Permanent 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 EmailLocal 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 1
    • EDUCATION BACKGROUNDList of Secondary Schools / Colleges you have attended. Please start with most recent first Date (From-To) Institution and address Marks/Grade (%) Board of Exam in Exam Passed State/ ISC/ CBSE/IB/ ‘A’ Level/ OthersEmployment History (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 2
    • PERSONAL STATEMENT:Please write a personal statement outlining your interests, motivations and skills that you feel are relevant for your application(in no more than 500 words) 3
    • ACADEMIC HONOURSBriefly list or describe any scholastic distinctions or honours you have won beginning from ninth grade (Std. IX)PREFERENCES FOR PROJECTSYou may tick more then one. Design for Business Design for Humanity Design as ExperimentationINTERESTED AREAS OF STUDYYou may tick more then one. Furniture & Interior Textiles Product & Interface Visual Communication Digital Video Production Animation & Visual EffectsI 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 4
    • 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 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 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 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 TechnologySrishti School of Art Design and Technology Open Reference Form 2013-14 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 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 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 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 TechnologyOffice use only APP. DATE APP. NUMBERTo the StudentAfter you complete the information below, give this form to your referee. Your referee can be any person who has taught you orwith whom you have worked for a period of at least 2 years. The reference of a relative is considered invalid. This form shouldbe mailed to the Srishti office with the completed application form.Name first middle lastAddressTo the RefereeThank you for agreeing to provide a referral for the applicant. Please complete this form in its entirety.Name of the referee OccupationHow many years have you known the applicant?In what context (s) have you known the applicant?Address of the refereeTel No. EmailRATING (Please Tick) Below average Average Good Very Good Excellent No basis of judgmentSocial adaptabilityEmotional adaptabilityLeadershipMotivationDisciplined work habitsIntegrity and honestyAcademic abilityWillingness to go beyondthe expectedSignature Date 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 ...2
    • -2- Open Reference Form 2012-13Are there any special talents the applicant possesses that would be helpful for us to know, as we evaluate this application?Would you like to share with us any additional comments about the applicant?Signature Date 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