Application Form for Post Graduate Diploma Programmes

Personal information (In Block Letters)
Name
Date of Birth
Father/ Mother /Guardian's name
Permanent address
Address for correspondence
Email		Landline:		Mobile:

Course applied for
Tick whichever is applicable. You may only choose one course. To apply for multiple courses, fill out separate application forms for each
School of Communication
	Advertising & Public Relations (IMC)
	Applied Journalism & Media Communication
	Digital Media Communication
School of Arts
	Creative Photography
	Audio Engineering & Music Production
	Film & Video Production

In case you’ve chosen Film & Video Production, please indicate your preferred specialization. Rank your preferences by numbering them (1-4) in the brackets given.
Direction Screenplay Writing
Digital Cinematography
Motion Picture Editing
Sound Recording & Design

Academic Qualification
Start with Graduation & attached copies of degree / marksheet)
Examination	College/University	Subjects	Year of Passing	Percentage

Work Experience
Company Name	Designation	Responsibility	Duration

Languages Known
Language	Read	Write	Speak

Software(s) known
List all software that you are skilled in
Software 1
Software 2
Software 3
Software 4
Software 5

Extra Curricular Activities
(Please give details):

References
Two local references in Delhi (for outstation students only).
Name
Address
Contact No.
Two local references in Delhi (for outstation students only).
Name
Company
Designation
Landline No.
Mobile No.

Do you know anyone in the Industry related to the course you have applied for? Give details.
Name
Company
Designation
Address
Landline No.
Mobile No.
In addition to filling this form, you are required to send a set of relevant documents. Please see this link carefully and send the documents relevant to the course applied for, along with the signed declaration given in the form. These are to be sent by post to: Sri Aurobindo Centre for Arts & Communication (A Unit of Sri Aurobindo Society , Pondicherry) Sri Aurobindo Society, Shaheed Jeet Singh Marg, Adhichini, New Delhi - 110 017 Phone: 91-011-26561986/ 2652 9022 (Extn: 33, 35) Fax: 91-011- 2656 5470