Application Form for Master in Public Policy Program
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Basic Application Information
1. Applicant Name: *
2. Email ID: *
2. Skype ID: *
3. Mobile Number: *
4. Date of Birth: *
5. Age: *
6. Gender: *
7. Alternate Email ID:
8. Alternate Phone Number:
9. Nationality: *
10. If Nationality is Others? Please Provide Passport Number:
11. Are you a domicile/native of Odisha ? *
12. Your Statement of Purpose (SOP)
How do you think would this prestigious program add to your leadership aspirations? *
(Maximum 500 words)
Kindly fill up rest of the application form.
Family Details
13. Father's Name and contact details: *
14. Mother's Name and contact details: *
15. Guardian's Name and contact details:
Address (for correspondence)
16. Present Address *
17. Permanent Address *
Highest Educational Qualification
For valid application to master's program, you need to have a completed bachelor's degree certificate with minimum 55% and above as qualifying marks.
18. Highest Educational Qualification (Completing or Completed) *
19. Specialization *
20. Degree Name *
21. University Name *
22. Year of Completion *
23. Percentage Secured *
Work Experience
24. Total Experience in months as of 31st May, 2019
25. Give Your Current/recent Employment Status
26. Briefly describe your responsibilities associated with your current/recent job along with organization name and designation (Maximum five sentences)
Application Fee Payment
Application Fee is Rs. 1500
27. Signature: *
28. Photo *
I hereby declare that the particulars given in this application form are true and correct, and they will be supported by original documents when asked for. I am also fully aware that in the event of any information found incorrect or misleading, my candidature shall be liable to cancellation by the university at any time.
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