Professional Documents
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AFFIX
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Name in full
___________________________________________
(in block letters)
Fathers Name
___________________________________________
______________________________________________________________________________________
2.
Date of Birth
___________________________________________
______________________________________________________________________________________
3.
Permanent Address
___________________________________________
___________________________________________
___________________________________________
______________________________________________________________________________________
4.
___________________________________________
___________________________________________
______________________________________________________________________________________
Telephone: Office:
Residence:
Mobile:
E-mail:
______________________________________________________________________________________
* The subjects are: (i) Commerce (ii) Development Statistics (iii) Economics (iv) Geography
(v) Political Science & Public Administration, and (vi) Sociology.
** Registration Fee of Rs.500/- should be paid by Cash or DD drawn in favour of the Director, CESS
payable at Hyderabad. Rs. 600/- for Downloaded Application Form.
DD Particulars**
1. Name of the bank:
2. Number and date:
Page 1 of 4
______________________________________________________________________________________
5.
___________________________________________
___________________________________________
___________________________________________
______________________________________________________________________________________
6.
Academic record:
Examination Passed
Institution/University
Year of
passing
Subjects taken
(Specify main &
Sub.)
% of
Marks
Class/
Division
Obtained
B.A./B.Sc./B.Com.
Equivalent
M.A./M.Sc./M.Com.
Equivalent
M.Phil
Any Other (Specify)
______________________________________________________________________________________
8.
___________________________________________
___________________________________________
______________________________________________________________________________________
9.
Details of Publications (If necessary, use additional sheet. Attach at least 2 copies of the published work)
S.No.
1
2
3
4
__________________________________________________________________________________________
Page 2 of 4
______________________________________________________________________________________
10. Employment record:
Present &
immediately preceding (Give details
of the Organisation / Department in
which employed, position held and
nature of work )
___________________________________________
___________________________________________
______________________________________________________________________________________
11. Name and address of two persons
who will be able to provide us
with an evaluation of your academic
interest and/or experience
for
undertaking this course (Give their
their telephone numbers also).
1.
2.
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
___________________________________________
_____________________________________________________________________________________________
Place:
Date:
Signature of the Applicant
_____________________________________________________________________________________________
Checklist (Copies to be enclosed)
1.
2.
3.
4.
5.
6.
Page 3 of 4
Duplicate
1.
2.
Centre
3.
Date of Examination
4.
Time of Examination
5.
6.
Father's Name
7.
Subject
8.
Director
-------------------------------------------------------------------------------------------------------------------------------------------Original
1.
2.
Centre
3.
Date of Examination
4.
Time of Examination
5.
6.
Father's Name
7.
Subject
8.
Director
Page 4 of 4