Prospectus Request Form.cdr by olliegoblue34

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									                                                        SYMBIOSIS
                                                        Centre for Distance Learning (SCDL)
                Symbiosis Bhavan, 1065 B, Gokhale Cross Road, Model Colony, Pune – 411016, Maharashtra, India.
                                Tel.: 020 66211000 - 20 | Fax: 020 66211040 / 41 | www.scdl.net


                                            PROSPECTUS REQUEST FORM
                   FOR CERTIFICATE PROGRAMS IN SOCIAL LAW OFFERED BY SCDL, PUNE
                                        Academic Year - 2010

To,
The Director
SCDL, Pune,

I request you to dispatch SCDL prospectus for Certificate Programs in Social Laws commencing in Jan 2010 to the address
given below for which I am attaching a demand draft along with this request form.
Details of the DD attached are also mentioned below.
Please use block letters to fill the form.
                                                        APPLICANT DETAILS

 Name       :

 Address:



                                                                                              City:

State:                                          Country:                                              Pin Code:

 Tel No.:                                                         Mobile:

E-mail ID :

                                                     DEMAND DRAFT DETAILS

DD No:                                 Bank Name:

DD Date:        D D    M M     Y   Y              Amount :                                                  No.of Prospectus:

   Please Note :
1. For receipt of Prospectus within India forward a DD of Rs.1100/- per prospectus (one single DD of exact amount only) drawn in favor of
     “The Director, SCDL, Pune” payable at Pune.
2. For receipt of Prospectus outside India forward one DD / Cashier’s Cheque of US$ 75 per prospectus (single instrument only) drawn in
    favor of “The Director, SCDL, Pune” payable at Pune.
3. Write on the reverse of the DD,“For Prospectus” thereafter put your name, contact no. and complete address where the prospectus needs
    to be dispatched.
4. Retain a copy of the DD forwarded to SCDL for future reference.
5. Prospectus cost is non-refundable and non-transferable.
6. Prospectus sale is subject to availability and till stocks last.
7. SCDL is not responsible for delay or loss of prospectus in transit.
8. Dispatch the DD attached to the Prospectus Request Form at the above - mentioned postal address to SCDL.
9. For the status of prospectus dispatch visit our website www.scdl.net and click on the link “Prospective Students”.
10. SCDL Prospectus of 2009 cannot be used for admission to any other program commencing in July 2010.




                                                                                                            (Signature of Applicant)

								
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