Tata-Dhan Academy

T. Malaipatti, Thenkarai PO, Mullipallam SO, Sholavandan (Via), Vadipatti Taluk, Madurai 625 207

Application for Programme in Development Management (PDM XIII): 2012-2014

Instructions

  • All fields are compulsory. 
  • Don't leave any box/column blank unless specified as optional.
  • On receipt of the DD for Rs 300/- drawn in favour of Tata-Dhan Academy, payable at Madurai along with two self-attested photographs, we will issue admit card after scruitinising your application. 
  • Please mention your name and online application number given to you (on submission of this form) clearly on the reverse side of the DD and photographs.
  • Last date for the receipt of filled in application is 7 March 2012.
 

Name:

Mailing Address

Pincode:

Telephone No. with STD code:

Mobile No:

Email:

Name of the nearest Courier Service:

Nearest Telegraph Office:

Permanent Address(Same as mailing address)

Pincode:

Telephone No. with STD code:

Mobile No:

Email:

Name of the nearest Courier Service:

Nearest Telegraph Office:

Guardian's Name/Address in Tamil Nadu / Andra Pradesh / Karnataka


Pincode:

Telephone No. with STD code:

Mobile No:

Email:

Name of the nearest Courier Service:

Nearest Telegraph Office:

1. Date of Birth

- -

Age: (As on 1st June, 2011)

Marital Status:

Are you a first graduate from your family?

2. Registration Fee

Send a demand draft of Rs.300/- in favour of "Tata-Dhan Academy", payable at Madurai.

3. Education
Qualification Name of the Institution and Location Month & Year Marks/OGPA Obtained Percentage of Marks
From To
Secondary School (10th)

(mm-yyyy)

(mm-yyyy)

%
Higher Secondary School (10-12)

(mm-yyyy)

(mm-yyyy)

%

Bachelor's Degree in

(mm-yyyy)

(mm-yyyy)

%

Master's Degree in

(if applicable)

(mm-yyyy) (mm-yyyy) %

4. Work Experience (if applicable - fill in only as many rows as required)
Date Employer's Name & Location Job Title Nature of Job
From To

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)


5. Extra Curricular Activities (optional)

6. Languages Known 7. How did you come to know about this programme?
(Check at least one box)

Speak

Read

Write

The Hindu

Times of India

Economic and Political Weekly

Vernacular Newspaper

Friends

Seniors

Poster

College/Faculty

Website

Others

8. Why are you interested to undergo this course? (Write in this box not exceeding 200 words.)



8. What other courses are you applying to?


9. What do you know about Tata-Dhan Academy?


10. Why do you want to pursue this course in Tata-Dhan Academy? (Not less than 300 words)


11. What is your ambition in the next five years (Not less than 300 words)


12. Write about yourself. (Not less than 300 words)



14. Declaration

I hereby confirm to the best of my knowledge, the information I have provided in this application is complete and true.