Application Form for Master in Public Policy Program
Sign in to your mail account to fill up the form.
Basic Application Information
1. Applicant Name:
2. Email ID:
2. Skype ID:
3. Mobile Number:
4. Date of Birth:
7. Alternate Email ID:
8. Alternate Phone Number:
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.
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)
20. Degree Name
21. University Name
22. Year of Completion
23. Percentage Secured
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
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.
For further information write to us at
Page 1 of 1
Never submit passwords through Google Forms.
This form was created inside of Xavier University Bhubaneswar. -
Terms of Service