Application Form
N. L. Dalmia Centre For Excellence
Email address *
Personal Details:
Applicant Name: *
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Applicant Address: *
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City, State, Pin: *
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Contact Number: *
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Parent / Guardian Details:
Father / Husband Name: *
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Residential Address: *
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Occupation: *
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Contact Number: *
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Preferred Program *
Education Background:
10th Details: *
Mention your details in given format: Name of School; University/Board; Year of Completion; GPA/Percentages (example: XYZ; CBSC; 2010; 8.5/85%)
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12th / Diploma Details: *
Mention your details in given format: Name of College; University/Board; Year of Completion; Degree Awarded; GPA/Percentages (example: XYZ; CBSC; 2010; HSC(science/arts/commerce)/Diploma in (Mechanical/Computer Science, etc) 8.5/85%)
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Graduation Details: *
Mention your details in given format: Name of Institute; University/Board; Year of Completion; Degree Awarded; GPA/Percentages (example: XYZ; CBSC; 2010; B.E(ExTc)/B.Com./BSC(Stats); 8.5/85%)
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Professional Background:
Organisational Details:
Mention if you have any full time industry experience, else write N.A(Not Applicable)
Organisation 1:
Name of Organisation; Months of Experience; Designation (example: XYZ Pvt. Ltd.; 24 months; General Manager)
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Organisation 2:
Name of Organisation; Months of Experience; Designation (example: XYZ Pvt. Ltd.; 24 months; General Manager)
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Organisation 3:
Name of Organisation; Months of Experience; Designation (example: XYZ Pvt. Ltd.; 24 months; General Manager)
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Certifications & Achievements:
Mention if you have any, else write N.A(Not Applicable)
Award Details 1:
Name of Award; Year; Reason of Award
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Award Details 2:
Name of Award; Year; Reason of Award
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Statement of Purpose: What is the reason behind joining preferred course? (max 250 words) *
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A copy of your responses will be emailed to the address you provided.
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