TECHNICAL SCHOOL MANAGEMENT TRUST FUND - Swami Dayanand Institute by HC12100310541

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									                 Swami Dayanand Institute of Management
                      (Under the aegis of the Ministry of Education, Culture & Human Resources)
                                   Beau-Plan S.E. Round About
                                         Pamplemousses
                    Phone: 243-0045 / 243-8382 / 243-5473                     Fax: 243-5154


              APPLICATION FOR ADMISSION                                                           For Office Use Only

         FULL-TIME DIPLOMA COURSES                                    (2- yrs)
                       ACADEMIC YEAR 2010-2011
(This form should be accompanied by photocopies of Birth and Educational certificates together with
an application fee of Rs 200)
PLEASE USE BLOCK LETTERS
1. Surname                                                                 Maiden Name
                                                                           (if applicable)
      Other names                                                          Enclose photocopy of Marriage certificate)

2. Address for correspondence                                                      Telephone Number
                                                                                 Home: ……………………
                                                                                 Mobile: ……………………


3.     DATE OF BIRTH              4.               SEX                5.     MARITAL STATUS
       Date    Month     Year             Female         Male                   Single            Married



6.     EDUCATIONAL DETAILS
                    Details of Secondary Schools and /or Other Educational Institutions attended
                                                                                 ENTERED                    LEFT
                            INSTITUTIONS                                        Month       Year        Month     Year



 List all subjects already taken, including failures, in exactly the same order as presented in the Certificate.
 Give the three best attempts for each certificate including the years and months of examinations.

       SC/GCE “O”-LEVEL RESULTS                            GRADES ( e.g. 1, 2, 3, .. or A, B, C…)                For
                     Date of Attempt ( Month/Year)                                                              Office
                        Subjects                             1st Attempt     2nd Attempt     3rd Attempt         Use
  1
  2
  3
  4
  5
  6
  7
  8
  9
 10
         HSC/GCE “A”-LEVEL RESULTS                            GRADES ( e.g. 1, 2, 3, .. or A, B, C…)           For
                        Date of Attempt ( Month/Year)                                                         Office
         Subjects taken at Principal or Advanced level 1st Attempt           2nd Attempt     3rd Attempt       Use
     1
     2
     3
     4
                 Subjects taken at Subsidiary level            1st Attempt   2nd Attempt     3rd Attempt
     1
     2


7.       COURSE APPLIED FOR ( in order of preference)
         Indicate the order of your preference (1, 2 or 3) for the following courses in the boxes provided.


           Diploma in Information Systems

           Diploma in Business Informatics

           Diploma in Business Administration

8.       THIS SECTION MUST BE FILLED IN BY ALL APPLICANTS
         I, ……………………………………………..……., declare that if admitted to the Institute, will diligently
         follow the course of study for which I am selected to its termination; that I will inform the Administration, in
         writing and without delay, if I withdraw from the course. I also declare that the above information is correct.


         Date:        …../…../……..          Signature: ………………………………………….




         For Office Use Only                                            Remarks
           Receipt No:



         Signature:

         Date:

								
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