CPPR Global Policy School 2019 (CPPR GPS'19) Application Form
Dear Applicant,

Thank you for your interest in the CPPR Global Policy School on 'Public Policy Research Methods' conducted by Centre for Public Policy Research for the year 2019.

Course Date: 1 - 5 May 2019
Venue: Riviera Suites, Cochin, India
Course Fee: USD 300 (INR 22,000 for Indian nationals)

Course Fee for Early Bird applications received on or before 15 February : USD 280 (INR 20,000 for Indian Nationals)


Time Line:
January 21 : Applications Open
February 15 : Closing of Early Bird Discounts
March 15 : Applications Close
March 25 : Announcement of Selected Candidates
March 31: Confirmation by Selected Candidates
April 5: Last date for payment of Course Fee
May 1 : Course begins
May 1 - 5 : Course Period

Fees once paid will not be refunded under any circumstances


How did you hear about this policy school? *
APPLICANT PERSONAL DETAILS
1. Full Name *
Your answer
2. Date of Birth (DD-MM-YYYY) *
Your answer
3. Sex *
4. Nationality *
Your answer
5. Permanent Address (House number/Name/Street, City, State, Country, Pincode) *
Your answer
6. Address for Communication (House number/Name/Street, City, State, Country, Pincode) *
(write same as above if your Permanent Address and Communication Address are the same)
Your answer
7. Telephone Number with Country Code *
Your answer
8. Email Address *
Your answer
APPLICANT EMERGENCY CONTACT INFORMATION
9 (a). In home country (Name, Address, Phone number) *
Your answer
9 (b). In India, (if any)
Your answer
APPLICANT TRAVEL DETAILS
The following fields (questions 11 to 16) are only mandatory for foreign applicants. Indian citizens who wish to attend CPPR GPS 2019 may go directly to question 17 (a).
10 (a). Passport Number
Your answer
10 (b). Passport issuing Authority/Country
Your answer
10 (c). Passport place of Issue
Your answer
10 (d). Passport date of Issue (dd-mm-yyyy)
Your answer
10 (e). Passport expiry date (dd-mm-yyyy)
Your answer
10 (f). Have you ever been rejected Visa/Travel documents by the Government of India?
APPLICANT ACADEMIC CREDENTIALS
11 (a). Degree 1: Institution Name, Place, Country, Main Course of Study, Year *
Your answer
11 (b). Degree 2: Institution Name, Place, Country, Main Course of Study, Year
Your answer
11 (c). Degree 3: Institution Name, Place, Country, Main Course of Study, Year
Your answer
APPLICANT PROFESSIONAL CREDENTIALS
12 (a). Name and address of last/current employer *
Your answer
12 (b). Title of your post and brief description of your duties, any ventures or projects undertaken in not more than 3 lines *
Your answer
12 (c). Employment period (mm-yyyy to mm-yyyy) *
Your answer
12 (d).Are you affiliated with any think tanks or research institutions apart from your present employer? *
Provide the details of the work you undertake in that capacity
Your answer
APPLICANT LANGUAGE PROFICIENCY
13 (a). Languages known. *
Your answer
13 (b). If you have passed any test for English Language proficiency, please mention the same with year and scores obtained
Please note that this Course mandatorily requires all its Applicants to be proficient in reading, writing, and speaking the English language
Your answer
APPLICANT HELP AND SUPPORT INFORMATION
14 (a). Do you consider yourself to suffer from any disability that would require specific support from us? *
14 (b). If ‘yes’ give the particulars in the space provided below
Your answer
15 (a). Have you any specific food or lodging requirements that you would like us to know? *
15 (b) If ‘yes’ give full particulars of each case in the space provided below
Your answer
STATEMENT OF INTEREST IN GPS
16 (a). What are your objectives in applying for this Course? (not to exceed 250 words) *
[Example: You could address how participating in the Course furthers your professional aspirations and/or educational goals]
Your answer
16 (b). Describe your views on the role of government and public policy in governance. (not to exceed 250 words)
Your answer
APPLICANT DECLARATION
Note: Acknowledgment of this application does not amount to acceptance of the candidature *
Required
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