Tata-Dhan Academy

T. Malaipatti, Thenkarai PO, Mullipallam SO, Sholavandan (Via), Vadipatti Taluk, Madurai 625 207

Application for 14th Programme in Development Management (PDM XIV): 2013-2015

Instructions

  • All fields are compulsory. 
  • Don't leave any box/column blank unless specified as optional.
  • On receipt of the DD for Rs 300/- drawn in favour of Tata-Dhan Academy, payable at Madurai along with two self-attested photographs, we will issue admit card after scruitinising your application. 
  • Please mention your name and online application number given to you (on submission of this form) clearly on the reverse side of the DD and photographs.
  • Last date for application submission: April 30, 2013.
  

Name:

Mailing Address

Pincode:

Telephone No. (Residence) with STD code:

Mobile No:

Email:

Name of the nearest Courier Service:

Nearest Telegraph Office:

Permanent Address(Same as mailing address)

Pincode:

Telephone No. (Residence) with STD code:

Mobile No:

Email:

Name of the nearest Courier Service:

Nearest Telegraph Office:

Guardian's Name/Address in Tamil Nadu / Andra Pradesh / Karnataka


Pincode:

Telephone No. (Residence) with STD code:

Mobile No:

Email:

Name of the nearest Courier Service:

Nearest Telegraph Office:

1. Date of Birth

- -

Age: (As on 1st July, 2013)

Marital Status:

Are you a first graduate from your family?

2. Registration Fee

Send a demand draft of Rs.300/- in favour of "Tata-Dhan Academy", payable at Madurai.

3. Education
Qualification College/University and location Month & Year Marks/OGPA Obtained Percentage of Marks
From To
Secondary School (10th)

(mm-yyyy)

(mm-yyyy)

%
Higher Secondary School (10-12)

(mm-yyyy)

(mm-yyyy)

%

Bachelor's Degree in

(mm-yyyy)

(mm-yyyy)

%

Master's Degree in

(if applicable)

(mm-yyyy) (mm-yyyy) %

4. Work Experience (if applicable - fill in only as many rows as required)
Date Employer's Name & Location Job Title Nature of Job
From To

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)

(mm-yyyy)


5. Extra Curricular Activities (optional)

6. Languages Known 7. How did you come to know about this programme?
(Check at least one box)

Speak

Read

Write

The Hindu

Times of India

Economic and Political Weekly

Vernacular Newspaper

Friends

Seniors

Poster

College/Faculty

Website

Others

8. What other courses are you applying to?


9. What is your ambition in the next five years? (Not less than 300 words)


10. What do you know about Tata-Dhan Academy? How did you come to understand about the Academy?


11. Why do you want to pursue your career in the development sector? Narrate an incident which made you to decide to be in the sector. (Not less than 300 words)


12. Write about yourself and your family. (Not less than 300 words)


13. Write your commitments in the family and expectations of your parents



14. Declaration

I hereby confirm to the best of my knowledge, the information I have provided in this application is complete and true.