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Application Form: ipolicy for Young Leaders: Certificate Course in Public Policy, Mumbai | 27 - 29 January 2016
Please fill out all sections of this form (unless marked as an optional question).
Plagiarism will not be tolerated.

Eligibility: The course is open to all students, recent graduates as well as post graduates. Participants will be selected based on the merit of their application.

Please Note: Selected participants are required to attend all the sessions held during the course upon which they will receive a certificate of participation.

Venue: Churchgate, Mumbai
Dates: 25 - 27 November 2016

• The ipolicy fee is Rs 3000, which shall cover food and course materials for the entire duration of the program.
• Participants are to make their own travel arrangements.
• The fee is payable upon selection, and can be made online, via cheque or DD, details of which will be communicated later.
• Application deadline: 17 November 2016
• Selected participants will be notified: 21 November 2016

If you have any further queries, please contact Manasi Bose: programs@ccs.in | +91 98107 72964

Personal Details
Full Name
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Date of Birth
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College/Organisation
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Permanent Address
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City/Town
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State
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Country
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Postal Code
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Mobile Number
Please provide here, your number and not of any acquaintance or family member.
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E-mail Address (Official)
We will communicate with you primarily via this e-mail address. Please ensure the e-mail address you have entered is correct.
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E-mail Address (Personal/Secondary)
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Website/Blog
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Emergency Contact Name
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Emergency Contact Number
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Educational Qualifications
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Have you attended any CCS program in the past? (LSS, ISPP, ipolicy, Freedom Caravan, Colloquium, internship, etc.)
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How did you hear about ipolicy?
Name of Referee
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In about 300 words present your thoughts on any ONE of the following issues:
a. Urban areas are rich because population causes prosperity. Do you agree? b. Should there be reservation in the education sector? c. Should there be any censorship on Google/Facebook? d. What do you think should be the government’s role in the economy? e. Should there be any laws regarding sex among consenting adults?
Your answer
Why do you want to attend the course?
(Not more than 150 words):
Your answer
List upto two people or books that have influenced your philosophical or ideological thinking and a single sentence stating how each has influenced you.
(Not more than 100 words, please do not include your family members or pets)
Your answer
Please ensure that the information you have provided is accurate, and that you will be able to attend the entire course. Failure to do so will result in non-issuance of the certificate.
The course will start on 25 November at 9am and conclude on 27 November at 6pm
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