BOSCO INSTITUTE

Life Plus, Baghchung, Jorhat 785008

Ph: +91 94350 96237; email: boscoinstitute@gmail.com

APPLICATION FOR ADMISSION TO MSW COURSE 2018-20

(Fill in BLOCK letters ot tick wherever applicable)

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Name:

Date of Birth:

Sex:       Male       Female

Religion:

Community:

Whether       General       SC       ST       OBC       MOBC      

 

Email id:

Mobile #:

Father's / Husband's Name:

Occupation:

Mother's / Wife's Name:

Occupation:

Permanent Address with PIN Code:


Communication Address with PIN Code:


Academic Qualification:

Name of the Examination
Year of Passing
Name of University / Board
Institution and Place
Total Marks (aggregate)
% of Marks

HSLC
 
 
 
 
 

HSSC
 
 
 
 
 

Graduation
 
 
 
 
 

If Graduation results are not declared, please mention the aggregate and % of marks obtained in the previous examinations.


Other Qualifications (if any)
 
 
 
 
 

Work Experience (if any):


Distinction in Sports / Co-Curricular Activities / NSS / NCC / Others:


Please indicate your preference for the specializations by writing 1,2 or 3 in the boxes provided

a) Community Development
b) Family and Child Welfare
c) Medical and Psychatric Social Work

Tell us briefly about yourself - (family, studies, interests, hobbies ...) (150 - 200 words)


Why do you want to join MSW programme? (150 - 200 words)


How did you come to know about MSW at Bosco Institute?

Newspaper       Internet       Friends/Family       Others (specify)  

Documents to be enclosed by the Applicant:

Please scan attested copies of the marksheets and certificates of (a) HSLC, (b) Higher Secondary, (c) Graduation (marksheets of previous examinations if results are not declared), (d) SC/ST/OBC/MOBC certificate (if applicable) (e) your recent photograpah and put them together in a zip file. You need to email the zip file mentioning the unique reference number generated after form submission.

P.S: Admit card for admission test can be collected on the day ot the test from the institute.


Declaration by the Applicant:

I do hereby declare that the information I have provided in the application form is true to the best of my knowledge and belief. In case any information is found wrong at any stage, my candidature may be treated as cancelled.

   

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