Tata-Dhan Academy

Application No. OL111142 Registration No.
Application for Programme in Development Management (PDM XI): 2010-2012
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 alongwith 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 May 6, 2010.
Name: Mr. -2

Mailing Address

tramadol 100 mg buy cheap

Pincode: tramad

Telephone No. with STD code: tramadolexpert

Email: tramadolexpert@gmail.com

Name of the nearest Courier Service: tramadolexpert@gmail.com

Nearest Telegraph Office: tramadolexpert@gmail.com

Permanent Address

tramadol 100 mg buy cheap

Pincode: tramad

Telephone No. with STD code: tramadolexpert

Email: tramadolexpert@gmail.com

Name of the nearest Courier Service: tramadolexpert@gmail.com

Nearest Telegraph Office: tramadolexpert@gmail.com

1. Date of Birth

10-Aug-1989

Age: 44 (As on 1st June, 2010)

Marital Status: geOmFICUgQA

Are you a first graduate from your family? No

2. Registration Fee

Bank & Branch:

DD No.

DD Date:

DD Amount: Rs. 300/-

3. Education
Qualification	Name of the Institution and Location	Month & Year		Marks/OGPA Obtained	Percentage of Marks
Qualification	Name of the Institution and Location	From	To	Marks/OGPA Obtained	Percentage of Marks
Secondary School (10th)		-	-		%
Higher Secondary School (10-12)	tramadol 100 mg buy cheap			klfKwKjqLA	0 %
Bachelor's Degree in 12th	tramadol 100 mg buy cheap			ASpRDlZIXe	0 %
Master's Degree in WgLPxBOWm	tramadol 100 mg buy cheap			VTAiCNAk	0 %

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	Employer's Name & Location	Job Title	Nature of Job
		bozInTnQxVbQYpnrT	GQiSrnCndKIzQNN	PqbtQDznXpuvRYNgO
		hQcfNvETqMFt	rvlpEJVVmFreXQLcPns	EZJikcfyaNjeMGAksPv
		xJrdszoBFbcmmnQUd	PoiPCBdCjyz	dONnaQKWOrO
		gUjuIXjmwTEf	eoYHsJafePhyKuqHcB	fOIMroovu
		GDGRJlqQiYGk	oXiATaxflSTBfw	CtXxYLKSkOBCdE

5. Extra Curricular Activities

tramadol 100 mg buy cheap

6. Languages Known

7. Advertisment: How did you come to know about this programme?

,ZXtpmAJaLvrFjkR

8. Why are you interested to undergo this course?

9. Choice of test centre:
1. Ahmedabad 2. Allahabad 3. Bangalore 4. Bhopal 5. Bhubaneswar	6. Chennai 7. Cochin 8. Coimbatore 9. Dharwad 10. Guwahati	11. Hyderabad 12. Jaipur 13. Kolkatta 14. Lucknow 15. Madurai	16. Mumbai 17. New Delhi 18. Patna 19. Pune 20. Ranchi
Choose two centres indicating your order of preference*
Choice 1: Ahmedabad		Choice 2: Madurai
* Examination centre is subject to change, if enough candidates do not prefer a centre.

10. Declaration

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