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Admission Form

The document is an application form for admission to the Indian Society for Training & Development (ISTD) Diploma Programme. It requests information such as the applicant's name, date of birth, address, academic and professional qualifications, present occupation, details of work experience, payment details, and a certification that the information provided is correct. The deadline for batch submission of completed application forms is November 30, 2017 and the admission form will commence from January 1, 2018.

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VivekSagar
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Download as DOC, PDF, TXT or read online on Scribd
38 views

Admission Form

The document is an application form for admission to the Indian Society for Training & Development (ISTD) Diploma Programme. It requests information such as the applicant's name, date of birth, address, academic and professional qualifications, present occupation, details of work experience, payment details, and a certification that the information provided is correct. The deadline for batch submission of completed application forms is November 30, 2017 and the admission form will commence from January 1, 2018.

Uploaded by

VivekSagar
Copyright
© © All Rights Reserved
Available Formats
Download as DOC, PDF, TXT or read online on Scribd
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78-Batch submission of completed Application Form: is 30th November, 2017

Commencing from 1st January, 2018


ADMISSION FORM
REGISTRATION NO. APPLICATION NO.

Administrative Officer, Diploma Programme Affix here a stamp size


Indian Society for Training & Development Photograph and attach
Training House one more copy which will
be affixed to your identity
B-23 Qutab Institutional Area, New Mehrauli Road card, issued by the
New Delhi 110 016 Diploma Office, will be
Phones: 011-41688772, 26867710, 26857157 (M) 9911326953 required for appearing at
Email: [email protected] the examination.
Website: istd.co.in

CENTRE

1. Full Name: Shri/Smt./Kumari: ..

2. Fathers/Mothers/Husbands Name: ..
3. Date of Birth: ..
(DAY) (MONTH) (YEAR)
4. Address for Correspondence (in Block Letters): ..
..
......
Town/City: ..State: Pin.
Telephone: (Office) ...Residence.....
Mobile: ..Email: ..

5. Academic & Professional Qualification: (start with highest degree)


University/Institution Degree/Diploma Duration Year of Passing
A.

B.

C.

D.
(Attested Copies of University Degree/Professional Qualification must be enclosed)

6. Present Occupation:
a. Designation.....

b. Name & Address of Employer Organisation......


Date: (Signature of Applicant)


/2/
7. Details of Experience: In case of Graduate Degree or its equivalent, and have a minimum two
years work experience in Training/Human Resource Development function, attested by
Department head must be attached separately or given here:

Organisation Post held Experience


Training Functions Years Months

NAME:
DESIGNATION:
Attested by Department Head : SIGNATURE AND SEAL

8. a) Enclosures:
1. 4.

2. 5.

3. 6.
b) I also enclose herewith :
i) Rs. 500/- towards Prospectus Fee.
ii) Rs. 1000/- towards Registration Fee
iii) Rs.45,000/- towards full Course fee/ Rs.15,500/- towards First Instalment of Course Fee. In
case of Armed Forces Officials Rs.25,000/- towards full Course fee/Rs.12,800/- towards First
Installment of Course Fee.

iv) Rs. 40,500/- towards full Course Fee for ISTD Permanent Institutional Members in one
lumpsum

Rs.40,500/- towards full Course fee/ Rs.14,000/- towards First Instalment of Course Fee for
SC/ST Candidates .

v) Demand Draft No.dated ..for Rs. The Draft should be


in favour of ISTD (Diploma Programme) payable at New Delhi or through NEFT.

vi) If you are eligible, you can make a single draft for the total amount

9. I certify that the above particulars are correct to the best of my knowledge.

Date: (Signature of Applicant)


FOR OFFICE USE ONLY

Status; Training Experience Certificate/Ed. Certificate (s) required


ADMIT/ NOT ELIGIBLE

Diploma Programme Office

How did you come to know about ISTD Diploma Programme/through a News Paper/Brochure/Website/
ISTD Member/Chapter/Collegue/Diploma Student/Any other.

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