Organic Name Reactions for the students and aspirants of Chemistry12th.pptx
Application
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INDIAN INSTITUTE OF
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IIJNM JOURNALISM NEW MEDIA
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A PR O J E C T O F T H E B S & G F O U N D A T I O N
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Admission procedure consists of:
1. Completion and submission of application form
2. Online Aptitude Test
3. Personal interview
4. Notification and acceptance of admission
Completion and submission of application form
Completed application forms must reach IIJNM by no later than May 31, 2012. The application will not be
considered unless all answers are typewritten (or printed legibly), signed and dated. The applicant's full
name must appear at the top right corner on each page of the application and supporting materials. Appli-
cations that do not reach by May 31, 2012 will not be considered.
The following must be submitted to the Admissions Committee:
1. Completed application form.
2. Supporting materials (if any) such as writing samples (published), record of achievements, etc.
3. Photocopy of official transcripts of academic records from undergraduate, graduate and/or professional
institutions attended.
4. Two letters of recommendation from current or former academic faculty or professional superiors. The
applicant must ask those writing recommendations to sign across the sealed flap of the envelope.
Recommendation letters must accompany the application form.
5. Essay 1: Your reasons for wanting to pursue a career in journalism, and what you hope to achieve in
this career (in not more than 250 words)
6. Essay 2: Your views on a recent event that received major national or international attention (in not
more than 1,000 words)
7. The Rs. 500 application-processing fee by bank draft or pay order (payable at Bangalore) and drawn in
favour of “IIJNM Bangalore.”
8. Based on the applications, qualified candidates will be interviewed in Bangalore/Telephonically. Se-
lected candidates will be notified by the end of June.
9. Payment towards confirmation of admission (Rs.75,000) must be received by the Institute within seven
days of notification of selection. Tuition and other fees for the semester are payable at the time of
joining. The registration and tuition fees, once paid, will not be refunded under any circumstances.
Applications must be sent to:
Admissions Processing Office
Indian Institute of Journalism & New Media
No. 401, 4E cross, 2nd Block, HRBR Layout, Kalyananagar
Bangalore 560043. India
Tel: 080-25432565 / 25432575 / 25444995 / 25440164
Fax: 080-25440210
e-mail: admissions@iijnm.org
2. Indian Institute of Journalism & New Media
Application Form
1. Type or write in clear block letters
Affix passport size
2. Attach photocopies of documents specified photograph
3. Paste a passport size photo in the space provided and sign across it
Personal identification
a) Full name :
b) Date of birth : Sex (M/F) :
(Day) (Month) (Year)
c) Father’s Name: Mother’s Name:
Tel/Mobile No: Tel/Mobile No:
e-mail: e-mail:
d) Current mailing address of candidate: Permanent address of candidate:
Pin Code: Pin Code:
Candidate’s Tel No : Contact Tel No:
Candidate’s Mobile No: Mobile No:
e) Nationality/Passport of country:
f) Student’s E-mail id:
g) Local guardian in Bangalore: Name & Address:
Contact Tel/Mobile No: e-mail:
h) Name and address of person to be contacted in case of emergency:
i) Program applied for :
One-year Postgraduate Diploma in Print, Broadcast (TV & Radio) and Online/Multimedia Journalism
One-year Diploma in Print, Broadcast (TV & Radio) and Online/Multimedia Journalism
j) Choose one concentration (Print or Broadcast or Online/Multimedia) in order of preference:
1) 2) 3)
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3. m) Are you computer literate? YES / NO What applications are you familar with?
Education:
a) High school:
Name of school School leaving certificate Year of passing Division/Grade/Rank
(SSLC/HSC/ISCE/ICSE)
b) Bachelor’s degree:
Name of college or Degree Duration and year Subjects Division/Grade/Rank
university obtained of graduation (majors)
c) Master’s degree:
Name of college or Degree Duration and year Subjects Division/Grade/Rank
university obtained of graduation (majors)
d) Any other qualifications:
e) Languages known:
Sl. No. Language Speak Read Write
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4. Work Experience:
(if applicable)
a) Most recent work experience:
i) Name of organization:
ii) Location and address:
iii) Nature of business:
iv) Your job / designation:
v) Duration of employment:
vi) Employer’s office telephone number:
b) Previous work experience:
i) Name of organization:
ii) Location and address:
iii) Name of business:
iv) Your job/designation:
v) Duration of employment:
vi) Employer’s office telephone number:
Personal assessment:
MEDICAL, PHYSICAL, DIETARY OR OTHER PERSONAL CONSIDERATIONS – IF ANY:
(The candidate must state if s/he has any existing medical conditions or currently is taking any prescription medication. This will
not affect candidate selection, but will enable the Institute to make any necessary accommodations)
a) Have you had any any chronic illness for the past five years? (give details):
b) Have you been under medication for the past last years? (give details):
c) Are you under any medication now?
d) Do you have any allergies? (give details)
f) Are you under medication for allergies? (give details)
d) Any precautions to be taken?
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6. List of accompanying materials:
a) State the names, official titles, and contact information for your two referees. Also describe how each knows you.
1) 2)
b) List the academic records enclosed:
c) List other supporting materials enclosed
d) Name the titles of the two essays enclosed. Enclose essays in separate sheets.
e) Details of the bank draft or pay order (payable at Bangalore) for Rs. 500 towards
application-processing fee
DD/BC No.: Dated: Drawee Bank
If payment is made in another currency, state the currency
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7. Applicant feedback:
How did you come to know of IIJNM?
Word of mouth Specify through whom
Search engines: Yahoo Google Others (specify)
If yes what were the words used to search (specify) for eg. Journalism college etc.
Website ads: (specify)
From educational fairs/seminars: (specify)
Posters/campaigns/advertisements: (specify)
IIJNM Alumni/lecturers: (specify)
HOD’s from other colleges: (specify)
All the above is true and accurate to the best of my knowledge.
Signature of Student
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