Tata Institute Of Social Sciences

TATA INSTITUTE OF SOCIAL SCIENCES (A Deemed University)

V.N. Purav Marg, Deonar, Mumbai-400 088

INSTRUCTION SHEET A. FILLING UP THE APPLICATION FORM Name of Programme

Item 1.

Prog. Code

M.A. in Development Studies

DS

M.A. / M.Sc. in Disaster Management

DM

M.A. in Education (Elementary)

EE

M.A. in Globalisation and Labour

GL

Master of Health Administration

HE

Master of Hospital Administration

HO

M.A. in Human Resources Management and Labour Relations

HR

M.A. in Social Entrepreneurship

SE

M.A. in Media and Cultural Studies

MC

a) A candidate can apply for not more than THREE programmes. b) Use only ONE application form, even if applying for more than one programme. c) The processing fee for each programme is Rs. 750/- (For example: Rs. 750/- for any one programme, Rs. 1,500 for any two programmes, and Rs. 2,250/- for any three programmes) out of the above nine programmes stated. d) If the form is purchased on cash payment from the TISS Cash Counter, please attach a duplicate copy of cash receipt to consider the application. e) If the form is downloaded from the TISS website, please attach the DD for required amount along with the completed form to consider it. Note: (i) A candidate who has already applied for ONE or TWO programmes along with a DD for requisite amount/paid requisite application processing charges in cash at the TISS Cash Counter and subsequently wishes to apply for more than any one or two programmes (total not more than THREE programmes) should send another DD for requisite amount or pay the requisite application processing charges at the TISS Cash Counter along with a request letter addressed to the Deputy. Registrar, TISS indicating the following: (a) (b) (c) (d)

Item 2.

Name of candidate. Application Form No. already sent to the Institute. Title of the programme/s already applied. Title of the additional programme/s for which the candidate is to be further considered.

(ii)

Those who have sent a DD for a minimum amount of Rs. 750/- and if applying for more than one programmes, should enclose a DD for the difference amount at the time of submission of the application forms.

(iii)

Those who have obtained a form on cash payment of Rs. 750/- from the TISS Cash Counter, and it applying for more than one programme, should pay the difference amount to the TISS cash counter at the time of submission of the application form and also attach the duplicate copy of cash receipt for the difference amount.

Choice of Centre: Candidate should write the name of the centre where he/she wishes to appear for the Written Test. Request for change in the centre for Written Test will not be entertained. A list of Centres and their code nos. is given below: Centre

Centre Code

Centre

Centre Code

AHMEDABAD

01

KOLKATA

10

AURANGABAD

02

LUCKNOW

11

BANGALORE

03

MUMBAI

12

BHOPAL

04

NAGPUR

13

CHENNAI

05

PATNA

14

DELHI

06

PORT BLAIR

15

GUWAHATI

07

SRINAGAR

16

HYDERABAD

08

THIRUVANANTHA PURAM

17

JAIPUR

09

Item 3. Name: Fill in your name, as recorded in the High School (Class X or XI) certificate by your Board in CAPITAL LETTERS. Example: If your name is Vidya Vasant Mhatre: V

I D Y A

V A S A N T

M H A T R E

If your name has more than 40 characters, abbreviate it suitably to accommodate within the space provided. For example, the name Karunakaranswamy Shashidharan Vishwanathan can be abbreviated as Karunakaranswamy S Vishwanathan K A R U N A K A R A N S W A M Y

S

V

I

S H W A N A T H A N

Item 4. Category: Tick mark (P) any ONE the appropriate box: (No candidates will be considered for more than one category) GN for General Category SC for Scheduled Caste ST for Scheduled Tribe PWD for Persons with Disability KM for Kashmir Migrant IS for International Student OBC for Other Backward Class If you are a PWD, please tick (P) against the type of disability, that is (i) Low Vision / Blindness, or (ii) Hearing Impairment, or (iii) Locomotor Disability / Cerebral Palsy. Item 5. Gender: Tick mark (P) the appropriate box. Item 6. Religion: Write your religion as Hindu, Christian, Muslim, etc. Item 7. Age: Write completed number of years. Item 8. Date of Birth: Enter your date of birth as given in your High School (Class X or XI) Certificate in the space provided. Example: If your date of birth is 7th June, 1983, fill in as Date

Month

Year

0 7 0 6 8 3 Items 9 and 13. Tick mark ( P) as required. Item 14. Specify the pattern of your study as 10+2+3, 10+2+4, 10+2+2+1 year bridge course or any other pattern of study, fulfilling the mandatory requirements of 15 years of formal education. Item 15. Specify the title of your Bachelor’s Degree like B.A./ B.Com./ B.E./ B.Sc./ M.B.B.S., etc. Item 17. Write the complete address for communication in BLOCK LETTERS using black ink. Your address should include all the details including your FULL NAME, PIN CODE etc.

B. GENERAL INSTRUCTIONS (a)

Photograph: Paste a recent passport size clear front facial photograph (Size: 4cm height x 3cm width) in the box provided. Ensure that the photograph is pasted within the box. The photograph should be attested by a competent authority and it should also be signed by the Candidate in black ink only.

(b)

The application form must be filled in by the Candidate in his / her own handwriting only. Corrections, if any, should be legible and attested by the Candidate. Please ensure that the form is complete in all respects.

(c)

If the application form is incomplete, the application will be rejected and no correspondence will be entertained.

(d)

Refer to the Information Brochure for PG Programme, under the heading, ‘Instructions for Determining the Eligibility to Apply’.

(e)

The Candidate will be called for the written test/s on the basis of information furnished by him/her in the application form. Hence, if any information provided by the Candidate in the application form is found incorrect, incomplete or misleading, or ineligibility detected before or after the tests, his/her candidature will be cancelled. No individual regret letter will be sent to applicants not called for test.

(f)

The eligibility, once determined, shall be final for the purpose of tests.

(g)

Applicants eligible for the admission test will be intimated by UNDER CERTIFICATE OF POSTING.

(h)

For the code numbers of the State/Union Territory and the University/Institution, please refer the attached list.

(i)

Candidates should clearly note that the Institute will in no case be responsible for non-receipt of applications or delay in receipt thereof on any account whatsoever. They should, therefore, ensure that their applications reach the Institute on or before the prescribed last date.

(j)

Address stickers The address stickers will be used in all correspondence, including mailing of ADMIT CARD for tests, etc. Hence, it should include your full name, Pin Code and your telephone no./mobile no., if any, and also be clear and legible.

C. ENCLOSURES (a)

A copy of degree certificate or a passing certificate, if the candidate has already passed his Bachelor’s degree examination, or

(b)

Bonafide Certificate issued by the College indicating that the student is studying in the final year of the Bachelor’s degree course in the current academic year.

(c) SC / ST Certificate: Candidates claiming concession under the Scheduled Caste / Scheduled Tribe category must submit a recently attested copy of the Caste Certificate, issued by a competent authority. If the Certificate is found improper, the candidate’s application will be rejected. “Unless the candidates produce the caste certificate in a manner required, they are not eligible to appear for the written test. The authorities empowered to issue the Scheduled Caste/ Scheduled Tribe Certificates are: Ø District Magistrate / Additional Magistrate / Collector / Deputy Collector / Deputy Commissioner / Additional Deputy Commissioner / Ist Class Stipendiary Magistrate / City Magistrate / Sub-Divisional Magistrate / Taluka Magistrate / Extra Assistant Commissioner. Ø Chief Presidency Magistrate / Additional Chief Presidency Magistrate / Presidency Magistrate. Ø Revenue Officer (Not Below the Rank of Tahsildar). Ø Sub-Divisional Officer of the Area where the Candidate and / or His/Her Family Normally Resides. Ø Administrator / Secretary to Administrator / Development Officer (Lakshadweep Islands). (d)

Certificate of Disability (if applicable).

(e)

Certificate indicating the status of Kashmiri Migrant (if applicable and subject to the GoI directives).

(f)

Certificate indicating the status of OBC (if applicable and subject to the GoI directives).

Certificates issued by any other official will not be accepted. The Institute reseves the right to get the certificates verified before issuing Admission offer or at any time during the programme.

List of Universities/Institutions (AIU–August 2007) CODE NO. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. 47. 48. 49. 50. 51. 52. 53. 54. 55. 56. 57. 58. 59.

NAME

CITY

CODE NO.

ACHARYA N.G. RANGA AGRICULTURAL UNIVERSITY ACHARYA NAGARJUNA UNIVERSITY UNIVERSITY OF AGRICULTURAL SCIENCES UNIVERSITY OF AGRICULTURAL SCIENCES ALAGAPPA UNIVERSITY ALIGARH MUSLIM UNIVERSITY ALLAHABAD AGRICULTURAL INSTITUTE UNIVERSITY OF ALLAHABAD ANDHRA UNIVERSITY ANNA UNIVERSITY ANNAMALAI UNIVERSITY ASSAM AGRICULTURAL UNIVERSITY ASSAM UNIVERSITY ATAL BEHARI VAJPAYEE INDIAN INSTITUTE OF INFORMATION TECHNOLOGY & MANAGEMENT AVINASHILINGAM INSTITUTE FOR HOME SCIENCE & HIGHER EDUCATION FOR WOMEN AWADHESH PRATAP SINGH UNIVERSITY B.N. MANDAL UNIVERSITY BABA SAHEB BHIM RAO AMBEDKAR BIHAR UNIVERSITY BABASAHEB BHIMRAO AMBEDKAR UNIVERSITY BABA FARID UNIVERSITY OF HEALTH SCIENCES BANARAS HINDU UNIVERSITY BANASTHALI VIDYAPEETH BANGALORE UNIVERSITY BARKATULLAH VISHWAVIDYALAYA BENGAL ENGINEERING COLLEGE & SCIENCE UNIVERSITY BEHRAMPUR UNIVERSITY BHARATHIAR UNIVERSITY BHARATHIDASAN UNIVERSITY BHARATI VIDYAPEETH UNIVERSITY BHAVNAGAR UNIVERSITY BIDHAN CHANDRA KRISHI VISHWAVIDYALAYA BIRLA INSTITUTE OF TECHNOLOGY BIRLA INSTITUTE OF TECHNOLOGY & SCIENCE BISRA AGRICULTURAL UNIVERSITY BUNDELKHAND UNIVERSITY UNIVERSTIY OF BURDWAN UNIVERSITY OF CALCUTTA UNIVERSITY OF CALICUT CENTRAL AGRICULTURAL UNIVERSITY CENTRAL INSTITUTE OF ENGLISH & FOREIGN LANGUAGES CENTRAL INSTITUTE OF FISHERIES EDUCATION CENTRAL INSTITUTEOF HIGHER TIBETAN STUDIES CHANDRA SHEKHAR AZAD UNIVERSITY OF AGRICULTURE & TECHNOLOGY CH. CHARANSINGH UNIVERSITY CH. CHARANSINGH HARAYANA AGRICULTURAL UNIVERSITY CH. SARWAN KUMAR HIMACHAL PRADESH KRISHI VISHWAVIDYALAYA CHHATRAPATI SHAHUJI MAHARAJ UNIVERSITY COCHIN UNIVERSITY OF SCIENCE & TECHNOLOGY

HYDERABAD

60.

GUNTUR BANGALORE DHARWAD KARAIKUDI ALIGARH ALLAHABAD ALLAHABAD VISAKHAPATNAM CHENNAI ANNAMALAI NAGAR JORHAT SILCHAR GWALIOR

61.

COIMBATORE REWA MADHEPURA MUZAFFARPUR LUCKNOW FARIDKOT VARANASI BANASTHALI BANGALORE BHOPAL HOWRAH BEHRAMPUR COIMBATORE TIRUCHIRAPPALLI PUNE BHAVNAGAR NADIA RANCHI PILANI RANCHI JHANSI BURDWAN KOLKATA KOZHIKODE IMPHAL HYDERABAD MUMBAI VARANASI

62. 63. 64. 65. 66. 67. 68. 69. 70. 71. 72. 73. 74. 75. 76. 77. 78. 79. 80. 81. 82. 83. 84. 85. 86. 87. 88. 89. 90. 91. 92. 93. 94. 95. 96. 97. 98. 99. 100. 101. 102.

NAME DR. BABASAHEB AMBEDKAR MARATHWADA UNIVERSITY DR. BABASAHEB AMBEDKAR OPEN UNIVERSITY DR. BABASAHEB AMBEDKAR TECHNOLOGICAL UNIVERSITY DR. BHIM RAO AMBEDKAR UNIVERSITY DR. BALASAHEB SAWANT KONKAN KRISHI VIDYAPEETH DR. H. SINGH GOUR VISHWAVIDYALAYA DR. N.T.R. UNIVERSITY OF HEALTH SCIENCES DR. PANJABRAO D. KRISHI VIDYAPEETH DR. RAM MANOHAR LOHIA AVADH UNIVERSITY DR. Y.S. PARMAR UNIVERSITY OF HORTICULTURE & FORESTRY DRAVIDIAN UNIVERSITY FAKIR MOHAN UNIVERSITY FOREST RESEARCH INSTITUTE GANDHIGRAM RURAL INSTITUTE GAUHATI UNIVERSITY GOA UNIVERSITY GOKHALE INSTITUTE OF POL. & ECO. GOVIND BALLABH PANT UNIVERSITY OF AGRICULTURE & TECHNOLOGY GUJARAT AYURVED UNIVERSITY GUJARAT UNIVERSITY GUJARAT VIDYAPITH GULBARGA UNIVERSITY GURU GHASIDAS UNIVERSITY GURU GOVIND SINGH INDRAPRASHTHA UNIVERSITY GURU JAMBHESHWAR UNIVERSITY GURU NANAK DEV UNIVERSITY GURUKULA KANGRI VISHWAVIDYALAYA HEMWATI NANDAN BAHUGUNA GARHWAL UNIVERSITY HEMCHANDRACHARYA NORTH GUJARAT UNIVERSITY HIMACHAL PRADESH UNIVERSITY UNIVERSITY OF HYDERABAD INDIAN AGRICULTURAL RESEARCH INSTITUTE INDIAN INSTITUTE OF INFORMATION TECHNOLOGY INDIAN INSTITUTE OF SCIENCE INDIAN INSTITUTE OF TECHNOLOGY INDIAN INSTITUTE OF TECHNOLOGY INDIAN INSTITUTE OF TECHNOLOGY INDIAN INSTITUTE OF TECHNOLOGY INDIAN INSTITUTE OF TECHNOLOGY INDIAN INSTITUTE OF TECHNOLOGY INDIAN LAW INSTITUTE INDIAN SCHOOL OF MINES INDIAN STATISTICAL INSTITUTE

CITY AURANGABAD AHMEDABAD LONERE AGRA DAPOLI SAGAR VIJAYAWADA AKOLA FAIZABAD NAUNI KUPPAM BALASORE DEHRADUN GANDHIGRAM GUWAHATI TALEIGAO PUNE PANTNAGAR JAMNAGAR AHMEDABAD AHMEDABAD GULBARGA BILASPUR DELHI HISAR AMRITSAR HARDWAR SRINAGAR PATNA SHIMLA HYDERABAD NEW DELHI ALLAHABAD BANGALORE MUMBAI NEW DELHI KANPUR KHARAGPUR CHENNAI ROORKEE NEW DELHI DHANBAD KOLKATA

103. 104.

INDIAN VETERINARY RESEARCH INSTITUTE INDIRA GANDHI INSTITUTE OF DEVELOPMENT RESEARCH

IZATNAGAR MUMBAI

105. 106.

INDIRA GANDHI KRISHI VISHWAVIDYALAYA INDIRA GANDHI NATIONAL OPEN UNIVERSITY

RAIPUR NEW DELHI

KANPUR

107. 108.

INDIRA KALA SANGIT VISHWAVIDYALA INSTITUTE OF ADVANCED STUDIES IN EDUCATION

KHAIRAGARH RAJASTHAN

KOCHI

109.

MUMBAI

DAKSHINA BHARAT HINDI PRACHAR SABHA DAYALBAUG EDUCATIONAL INSTITUTE DECCAN COLLEGE POST GRADUATE & RESEARCH INSTITUTE DEENDAYAL UPADHYAYA GORAKHPUR UNIVERSITY UNIVERSITY OF DELHI DEV SANSKRITI VISHWAVIDYALAYA

CHENNAI AGRA PUNE

110.

DEVI AHILYA VISHWAVIDYALAYA DHARMSINH DESAI INSTITUTE OF TECHNOLOGY DIBRUGARH UNIVERSITY

INDORE NADIAD

114.

INTERNATIONAL INSTITUTE FOR POPULATION SCIENCES INTERNATIONAL INSTITUTE OF INFORMATION TECHNOLOGY JADAVPUR UNIVERSITY JAGADGURU RAMBHADRACHARYA HANDICAPPED UNIVERSITY JAGADGURU RAMANANDA ACHARYA RAJASTHAN SANSKRIT VISHWAVIDYALAYA JAI NARAIN VYAS UNIVERSITY

DR. B.R. AMBEDKAR NATIONAL INSTITUTE OF TECHNOLOGY DR. B.R. AMBEDKAR OPEN UNIVERSITY

JALANDAR

115. 116. 117. 118.

JAIPRAKASH VISHWAVIDYALAYA JAIN VISHWA BHARATI INSTITUTE JAMIA HAMDARD JAMIA MILLIA ISLAMIA

CHAPRA LADNUN NEW DELHI NEW DELHI

HYDERABAD

119. 120.

UNIVERSITY OF JAMMU JANARDAN RAI NAGAR RAJASTHAN VIDYAPEETH

JAMMU (TAWI) UDAIPUR

KANPUR MEERUT HISAR PALAMPUR

111. 112.

GORAKHPUR 113. DELHI HARDWAR

DIBRUGARH

HYDERABAD KOLKATA CHITRAKOOTDHAM JAIPUR JODHPUR

CODE NO.

CITY

CODE NO.

JAYPEE UNIVERSITY OF INFORMATION TECHNOLOGY J. NEHRU TECHNOLOGICAL UNIVERSITY JAWAHARLAL NEHRU UNIVERSITY

KANDAGHAT

184.

NATIONAL INSTITUTE OF TECHNOLOGY

WARANGAL

185. 186.

NATIONAL INSTITUTE OF TECHNOLOGY NATIONAL LAW SCHOOL OF INDIA UNIVERSITY

SURATHKAL BANGALORE

JIWAJI UNIVERSITY KAKATIYA UNIVERSITY UNIVERSITY OF KALYANI KAMESHWAR SINGH DARBHANGA SANSKRIT UNIVERSITY KANNADA UNIVERSITY KANNUR UNIVERSITY KARNATAKA STATE OPEN UNIVERSITY KARNATAK UNIVERSITY

GWALIOR WARANGAL KALYANI DARBHANGA

187. 188.

NATIONAL LAW INSTITUTE UNIVERSITY NATIONAL MUSEUM INSTITUTE OF HISTORY OF ART, CONSERVATION & MUSEOLOGY NETAJI SUBHASH OPEN UNIVERSITY NIZAM’S INSTITUTE OF MEDICAL SCIENCES

JODHPUR NEW DELHI

132. 133.

UNIVERSITY OF KASHMIR KAVIKULGURU KALIDAS SANSKRIT VISHVAVIDYALAYA

SRINAGAR RAMTEK

DARJEELING SHILLONG JALGAON TAKATPUR BHUBANESWAR

134. 135. 136. 137. 138. 139.

UNIVERSITY OF KERALA KERALA AGRICULTURAL UNIVERSITY KUMAUN UNIVERSITY KURUKSHETRA UNIVERSITY KUVEMPU UNIVERSITY LAKSHMIBAI NATIONAL INSTITUTE OF PHYSICAL EDUCATION LALIT NARAYAN MITHILA UNIVERSITY UNIVERSITY OF LUCKNOW

TRIVANDRUM THRISSUR NAINITAL KURUKSHETRA GNANASAHYADRI GWALIOR

UNIVERSITY OF NORTH BENGAL NORTH EASTERN HILL UNIVERSITY NORTH MAHARASHTRA UNIVERSITY NORTH ORISSA UNIVERSITY ORISSA UNIVERSITY OF AGRICULTURE & TECHNOLOGY OSMANIA UNIVERSITY PADMASHREE DR. D.Y. PATIL VIDYAPEETH PT. RAVISHANKAR SHUKLA UNIVERSITY

CHANDIGARH PATNA SALEM PONDICHERRY CHANDIGARH

UNIVERSITY OF MADRAS MADURAI KAMARAJ UNIVERSITY MAGADH UNIVERSITY MADHYA PRADESH BHOJ OPEN UNIVERSITY M.S. UNIVERSITY OF BARODA MAHARANA PRATAP UNIVERSITY OF AGRICULTURE & TECHNOLOGY MAHARSHI DAYANAND UNIVERSITY MAHARSHI DAYANAND SARASWATI UNIVERSITY MAHARISHI MAHESHI YOGI VEDIC UNIVERSITY MAHARASHTRA ANIMAL & FISHERY SCIENCES UNIVERSITY MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES MAHATMA GANDHI ANTARRASHTRIYA HINDI VISHWAVIDYALAYA MAHATMA GANDHI CHITRAKOOT GRAMODAY VISHWAVIDYALAYA

CHENNAI MADURAI BODH GAYA BHOPAL VADODARA UDAIPUR

MAHATMA GANDHI UNIVERSITY MAHATMA GANDHI KASHI VIDYAPEETH M.J.P. ROHILKHAND UNIVERSITY MAHATMA PHULE KRISHI VIDYAPEETH MAKHANLALA CHATURVEDI RASHTRIYA PATRAKARITA VISHWAVIDYALAYA MALAVIYA NATIONAL INSTITUTE OF TECHNOLOGY MANGALORE UNIVERSITY MANIPAL ACADEMY OF HIGHER EDUCATION MANIPUR UNIVERSITY MANONMANIAM SUNDARANAR UNIVERSITY

KOTTAYAM VARANASI BAREILLY RAHURI BHOPAL

PANJAB UNIVERSITY PATNA UNIVERSITY PERIYAR UNIVERSITY PONDICHERRY UNIVERSITY POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION & RESEARCH POTTI SREERAMULU TELUGU UNIVERSITY UNIVERSITY OF PUNE PANJAB AGRICULTURAL UNIVERSITY PUNJAB TECHNICAL UNIVERSITY PUNJABI UNIVERSITY RAVINDRA BHARATI UNIVERSITY UNIVERSITY OF RAJASTHAN RAJASTHAN AGRICULTURAL UNIVERSITY RAJENDRA AGRICULTURAL UNIVERSITY RAJIV GANDHI UNIVERSITY RAJIV GANDHI PROUDYOGIKI VISHWAVIDYALAYA RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES RANCHI UNIVERSITY RANI DURGAWATI VISHWAVIDYALAYA RASHTRASANT TUKODOJI MAHARAJ NAGPUR UNIVERSITY RASHTRIYA SANSKRIT SANSTHAN RASHTRIYA SANSKRIT VIDYAPEETH SAMBALPUR UNIVERSITY SAMPURANAND SANSKRIT VISHWAVIDYALAYA SANT GADGE BABA AMRAVATI UNIVERSITY SANJAY GANDHI POSTGRADUATE INSTITUTE OF MEDICAL SCIENCES SARDARKRUSHINAGAR DANTIWADA AGRICULTURE UNIVERSITY SARDAR PATEL UNIVERSITY

165. 166.

MARATHWADA AGRICULTURAL UNIVERSITY MAULANA AZAD NATIONAL INSTITUTE OF TECHNOLOGY

PARBHANI BHOPAL

167.

HYDERABAD

168.

MAULANA AZAD NATIONAL URDU UNIVERSITY MIZORAM UNIVERSITY

169. 170. 171. 172. 173.

MOHANLAL SUKHADIA UNIVERSITY MOTHER TERESA WOMEN’S UNIVERSITY UNIVERSITY OF MUMBAI UNIVERSITY OF MYSORE NAGALAND UNIVERSITY

UDAIPUR KODAIKANAL MUMBAI MYSORE KOHIMA

174.

NALANDA OPEN UNIVERSITY

PATNA

175.

FAIZABAD

180. 181. 182.

NARENDRA DEVA UNIVERSITY OF AGRICULTURE & TECHNOLOGY NATIONAL ACADEMY OF LEGAL STUDIES AND RESEARCH OF LAW UNIVERSITY NATIONAL DIARY RESEARCH INSTITUTE NATIONAL INSTITUTE OF MENTAL HEALTH & NEURO SCIENCES NATIONAL INSTITUTE OF PHARMACEUTICAL EDUCATION AND RESEARCH NATIONAL INSTITUTE OF TECHNOLOGY NATIONAL INSTITUTE OF TECHNOLOGY NATIONAL INSTITUTE OF TECHNOLOGY

183.

NATIONAL INSTITUTE OF TECHNOLOGY

SILCHAR

121. 122. 123. 124. 125. 126. 127. 128. 129. 130. 131.

140. 141. 142. 143. 144. 145. 146. 147. 148. 149. 150. 151. 152. 153. 154. 155. 156. 157. 158. 159. 160. 161. 162. 163. 164.

176. 177. 178. 179.

NAME

HYDERABAD NEW DELHI

HAMPI KANNUR MYSORE DHARWAD

DARBHANGA LUCKNOW

ROHTAK AJMER UMARIAPAN NAGPUR NASHIK WARDHA CHITRAKOOT

189. 190. 191. 192. 193. 194. 195. 196. 197. 198. 199. 200. 201. 202. 203. 204. 205. 206. 207. 208. 209. 210. 211. 212. 213. 214. 215. 216. 217. 218. 219. 220. 221. 222. 223. 224. 225.

JAIPUR

226.

MANGALORE MANIPAL IMPHAL TIRUNELVELI

227. 228. 229. 230. 231. 232.

AIZAWL

HYDERABAD KARNAL BANGALORE

233. 234. 235. 236. 237. 238. 239. 240. 241.

MOHALI

242.

CALICUT KURUKSHETRA ROURKELA

243. 244. 245. 246.

NAME

SATHYABAMA INSTITUTE OF SCIENCE AND TECHNOLOGY SAURASHTRA UNIVERSITY SCHOOL OF PLANNING & ARCHITECTURE SHANMUGHA ARTS, SCIENCE, TECHNOLOGY AND RESEARCH UNIVERSITY SHER-E-KASHMIR UNIVERSITY OF AGRICULTURE SCIENCES AND TECHNOLOGY SHER-E-KASHMIR UNIVERSITY OF AGRICULTURAL SCIENCES & TECHNOLOGY SHIVAJI UNIVERSITY SHREEMATI NATHIBAI DAMODAR THACKERSEY WOMEN’S UNIVERSITY SHRI JAGANNATH SANSKRIT VISHVAVIDYALAYA SHRI LAL BAHADUR SHASTRI RASHTRIYA SANSKRIT VIDYAPEETH SHRI MATA VAISHNO DEVI UNIVERSITY SIDO-KANHU MURMU UNIVERSITY SIKKIM-MANIPAL UNIVERSITY OF HEALTH, MEDICAL & TECHNOLOGICAL SCIENCES SREE CHITRA TIRUNAL INSTITUTE FOR MEDICAL SCIENCES & TECHNOLOGY SREE SANKARACHARYA UNIVERSITY OF SANSKRIT SRI CHANDRASEKHARA SARASWATHI VISWA-MAHAVIDYALAYA SRI KRISHNADEVARAYA UNIVERSITY SRI PADMAVATI MAHILA VISHVAVIDYALAYA SRI RAMACHANDRA UNIVERSITY SRI SATHYA SAI UNIVERSITY

CITY

KOLKATA HYDERABAD

HYDERABAD NAVI MUMBAI RAIPUR

HYDERABAD PUNE LUDHIANA JALANDHAR PATIALA KOLKATA JAIPUR BIKANER SAMASTIPUR ITANAGAR BHOPAL BANGALORE RANCHI JABALPUR NAGPUR NEW DELHI TIRUPATI SAMBALPUR VARANASI AMRAVATI LUCKNOW DANTIWADA VALLABH VIDYANAGAR CHENNAI RAJKOT NEW DELHI THANJAVUR JAMMU SRINAGAR KOLHAPUR MUMBAI PURI NEW DELHI JAMMU SANTAL PARGANA SIKKIM THIRUVANANTHAPURAM KALADI KANCHIPURAM ANANTAPUR TIRUPATI CHENNAI ANANTAPUR

CODE NO. 247. 248. 249. 250. 251. 252. 253. 254. 255. 256. 257. 258. 259. 260. 261. 262. 263. 264. 265. 266. 267. 268. 269. 270. 271. 272. 273. 274. 275. 276. 277. 278. 279. 280. 281. 282. 283. 284.

NAME

SRI VENKATESWARAN INSTITUTE OF MEDICAL SCIENCES & UNIVERSITY SRI VENKATESWARA UNIVERSITY SYMBIOSIS INTERNATIONAL UNIVERSITY SWAMI RAMANAND TEERTH MARATHWADA UNIVERSITY TAMIL NADU AGRICULTURAL UNIVERSITY TAMIL NADU DR. AMBEDKAR LAW UNIVERSITY TAMIL NADU DR. MGR MEDICAL UNIVERSITY TAMIL NADU OPEN UNIVERSITY TAMIL NADU VETERINARY & ANIMAL SCIENCES UNIVERSITY TAMIL NADU UNIVERSITY TATA INSTITUTE OF SOCIAL SCIENCES TEZPUR UNIVERSITY THAPAR UNIVERSITY TILAK MAHARASHTRA VIDYAPITH TILAK MANJHI BHAGALPUR UNIVERSITY TRIPURA UNIVERSITY U.P. RAJARSHI TANDON OPEN UNIVERSITY UTTAR PRADESH TECHNICAL UNIVERSITY UTKAL UNIVERSITY UTKAL UNIVERSITY OF CUTLURE VARDHAMAN MAHAVEER OPEN UNIVERSITY VELLORE INSTITUTE OF TECHNOLOGY V.B.S. PURVANCHAL UNIVERSITY VEER KUNWAR SINGH UNIVERSITY VEER NARMAD SOUTH GUJARAT UNIVERSITY VIDYASAGAR UNIVERSITY VIKRAM UNIVERSITY VINAYAKA MISSION’S UNIVERSITY VINOBA BHAVE UNIVERSITY VISWA BHARATI VISVESWARAIAH NATIONAL INSTITUTE OF TECHNOLOGY VISVESWARAIAH TECHNOLOGICAL UNIVERSITY WEST BENGAL UNIVERSITY OF ANIMAL & FISHERY SCIENCES WEST BENGAL UNIVERSITY OF TECHNOLOGY YASHWANTRAO CHAVAN MAHARASHTRA OPEN UNIVERSITY KATHMANDU UNIVERSITY UNIVERSITY OF MAURITIUS ROYAL UNIVERSITY OF BHUTAN

CITY

CODE NO.

TIRUPATI

CODE. NO.

TIRUPATI PUNE NANDED COIMBATORE CHENNAI CHENNAI CHANNAI CHENNAI THANJAVUR MUMBAI TEZPUR PATIALA PUNE BHAGALPUR TRIPURA ALLAHABAD LUCKNOW BHUBANESWAR BHUBANESWAR KOTA VELLORE JAUNPUR ARRAH SURAT MIDNAPORE UJJAIN SALEM HAZARBAUGH SRINIKETAN NAGPUR BELGAUM

NAME STATES/UNION TERRITORIES

States 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29

ANDHRA PRADESH ARUNACHAL PRADESH ASSAM BIHAR CHHATISGARH DELHI GOA GUJARAT HARAYANA HIMACHAL PRADESH JAMMU & KASHMIR JHARKHAND KARNATAKA KERALA MADHYA PRADESH MAHARASHTRA MANIPUR MEGHALAYA MIZORAM NAGALAND ORISSA PUNJAB RAJASTHAN SIKKIM TAMIL NADU TRIPURA UTTARANCHAL UTTAR PRADESH WEST BENGAL

Union Territories

KOLKATA

30

ANDAMAN & NICOBAR ISLANDS

KOLKATA

31

CHANDIGARH

32

DADRA & NAGAR HAVELI

33

DAMAN & DIU

34

LAKSHADWEEP

35

PONDICHERRY

NASHIK NEPAL MAURITIUS BHUTAN

CITY

(Paper Size — Legal 14” X 8.5”) Post-Graduate Application Form No.

F

TATA INSTITUTE OF SOCIAL SCIENCES (A Deemed University) V.N. Purav Marg, Deonar, Mumbai-400 088

Cash Receipt No. _________ DD No.: ___________________ APPLICATION PROCESSING CHARGES, PER PROGRAMME

Indian Students

Rs. 750/-

International Students

Rs. 5000/ -

Date: _____________________ Bank & Branch: ___________ __________________________ Amount Rs.: ______________

1. Application Form for Admission to: (Prog. Code) 1) ....................................................................................... 2) ....................................................................................... 3) ....................................................................................... 2. Centre for Written Test: _____________________________

Paste one recent Passport Size Photograph here. It should be attested and also signed by the candidate.

2.1 Centre Code:

3. Name: Dr./Mr./Ms. (Full First Name)

(Father’s First Name)

4. Category: (i) 5. Gender:

M

(Full Last Surname)

GN

(ii) SC

F

6.

(iii) ST

(iv) PWD

(v) KM

(vi) IS

Religion: ____________________________

(vii) OBC FOR OFFICE USE ONLY Registration No.

7. Age:

Years

8.

Date of Birth: Date

9. Place of Residence: Mumbai

M

Non-Mumbai

Month

Year

NM

Registration No. Registration No.

10. Nationality :______________________________________________________________ 11. State/Union Territory of Domicile (Native Place): ______________________________ 11.1 State/UT Code No. ________________________ 12. Have you passed your Bachelor’s degree examination?

Yes No

12.1 If yes, please attach a copy of degree certificate or a passing certificate issued by the university? 13. Are you studying in the final year of Bachelor’s Degree?

Yes No

13.1 If yes, will you complete all the requirements of final year examination, latest by 21.06.2008?

Yes No

NA

13.2 If you are a medical graduate, will you complete your internship latest by 21.06.2008?

Yes No

NA

14. Specify the pattern of study of your Bachelor’s Degree: ________________________________________________ 15. Specify the Title of Bachelor’s Degree: ____________________________________________________________ 16. Name of University (Bachelor’s Degree) University/Institution Code No. 17. Address for Communication: ________________________________________________________________________ __________________________________________________________________________________________________________ Pin Code __________________________________________________________________________________________________________ Telephone No.

Mobile No.

__________________________________________________________________________________________________________

P.T.O.

18. Examination Passed / Academic Details: Total Marks Obtained

#FACULTY

Out of Maximum Marks

Year of Passing

Titles of Main Subjects Sub - 1

I

Year

II

Year

III

Year

IV

Year

Grand Total

Percentage:

# FACULTY - 1. = For Arts(Maths)/Science/Commerce

2. = For Law/Arts/Engineering

Sub - 2

% 3. = For Medicine/Dentistry/Nursing

19. DECLARATION BY THE CANDIDATE I hereby declare that the information furnished in the Application Form is complete and accurate. I have also noted that I will be called for tests based on the information provided therein, as above. I also agree that the Institute has the right to cancel my candidature, if it finds that any information provided therein is incorrect, incomplete or misleading, or ineligibility being detected before or after the test(s) / interview / selection / admission. ____________________________ (Place)

____________________________ (Date)

Telephone No. (with STD Code) _______________________ (Candidate)

Mobile No.: ________________________________________ (Candidate)

Fax: ______________________________________________ (Candidate)

E-mail: ____________________________________________ (Candidate)

____________________________ (Candidate’s Signature) _____________________________ (Parent)

_____________________________ (Parent)

_____________________________ (Parent)

_____________________________ (Parent)

P.T.O.

BIOGRAPHICAL SKETCH Name of the Candidate ______________________________________

Application Form No._____________________

20. Give your biographical sketch in (not exceeding) 250 words. The sketch is important as it enables the Interview Panel to assess your interests. Please use this sheet of paper for the biographical sketch and attach it with this Application Form while submitting it.

P.T.O.

BUSINESS PLAN (only for candidates applying for M.A. in Social Entrepreneurship) Name of the Candidate ______________________________________

Application Form No._____________________

21. Please write a short hypothetical business plan of not more than 500 words on any topic broadly within the Social Sector. Please use this sheet of paper for the business plan and attach it with this application form while submitting it. The business plan a part of the Written Test and carries a weightage of 20 marks.

(For office use only)

Registration No.

P.T.O.

FOR OFFICE USE ONLY

Please do not write above this line

P.T.O.

FOR INTERNATIONAL STUDENTS ONLY Form for Eligibility for Equivalence of Degree 1.

Name of the University ____________________________________________________________________________

2.

Name of the Student ______________________________________________________________________________

3.

Specialisation ____________________________________________________________________________________

4.

Structure for Primary to University Education (e.g. 10+2+3) ______________________________________________

5.

Entry Requirement ________________________________________________________________________________

6.

Nomenclature of Course Certificate/Degree ___________________________________________________________

7.

Accreditation status of the University/Institution in the home country ______________________________________ ________________________________________________________________________________________________

8.

Syllabus/Course curriculum and regulation of the course _________________________________________________

9.

System of Evaluation ______________________________________________________________________________

10. Requirement for Passing ___________________________________________________________________________ 11. Parity of the degree outside the country — documentation thereof ________________________________________ 12. Copy of the degree and academic transcripts __________________________________________________________ 13. Attach 2 Letter of Reference ________________________________________________________________________ 14. Any other relevant information ______________________________________________________________________ #Attach the copies of the relevant documents

Candidate should write his/her same address in all the following stickers in CAPITAL LETTERS for intimation of tests/selection, wherever applicable.

(Full Name) (House No.) (Village/Town/City)

(Road) (Post Office)

(Telephone No.)

(Locality) (State)

(Pin Code)

(Mobile No.)

(Full Name) (House No.) (Village/Town/City)

(Road) (Post Office)

(Telephone No.)

(Locality) (State)

(Pin Code)

(Mobile No.)

(Full Name) (House No.) (Village/Town/City)

(Road) (Post Office)

(Telephone No.)

(Locality) (State)

(Pin Code)

(Mobile No.)

(Full Name) (House No.) (Village/Town/City) (Telephone No.)

(Road) (Post Office)

(Locality) (State) (Mobile No.)

(Pin Code)

Post-Graduate Application Form No. F _____________

TATA INSTITUTE OF SOCIAL SCIENCES (A Deemed University) V.N. Purav Marg, Deonar, Mumbai - 400 088.

WRITTEN TEST ADMIT CARD

STAMP SIZE PHOTO (To be attested and signed by candidate)

Name of the Programme

Prog. Code

Registration No.

Name of the Programme

Prog. Code

Registration No.

Name of the Programme

Prog. Code

Registration No.

Name (in CAPITAL LETTERS): _____________________________________________________________________________________________________________________________________ (First Name) (Middle Name) (Last Name)

Candidate’s Signature

Section Officer (Academic) with Office Seal

*The Registration Number should be written on each Answer Book/OMR Sheet for tests

Post-Graduate Application Form No. F _____________

TATA INSTITUTE OF SOCIAL SCIENCES (A Deemed University) V.N. Purav Marg, Deonar, Mumbai - 400 088.

WRITTEN TEST ADMIT CARD

STAMP SIZE PHOTO (To be attested and signed by candidate)

Name of the Programme

Prog. Code

Registration No.

Name of the Programme

Prog. Code

Registration No.

Name of the Programme

Prog. Code

Registration No.

Name (in CAPITAL LETTERS): _____________________________________________________________________________________________________________________________________ (First Name) (Middle Name) (Last Name)

Candidate’s Signature

Section Officer (Academic) with Office Seal

*The Registration Number should be written on each Answer Book/OMR Sheet for tests

Application Form No.:

PG Admission, 2008–2010 To Academic Section Tata Institute of Social Sciences V.N. Purav Marg, Deonar Mumbai 400 088 From:

_________________________ _________________________ _________________________ _________________________ Tel. No. ___________________

Tata Institute of Social Sciences (A Deemed University) V.N. Purav Marg, Deonar, Mumbai - 400 088