TATA INSTITUTE OF SOCIAL

SCIENCES
(Deemed to be University, established under Section 3 of the
UGC Act, 1956)

Detailed Application Form: (Part B)

For PIT&PL 2019-21
Paste recent
PASSPORT SIZE
photograph here
with
signature on it for
identification
 All entries in the Application Form should be written in CAPITAL
LETTERS. Incomplete application forms will not be accepted. Please
use additional sheets, wherever required.

1. Registration Number: ________________________________

2. Name of the Programme selected: ___________________________________________________________

3. Date of Birth:

4. Marital Status: Single / Married

5. Age as on June 01, 2018._____________Years.

6. Have you taken part in NSS activities? Yes / No

7. State particulars of your education beginning with S.S.C. or equivalent examination.
Name of Duration of Board/Univer Name of Attended Year of Major Total Marks Out of Maximum Overall
Examination Study (in sity Institution Passing Subjects Obtained in all Marks Percentage of
Years) (Put Attended Studied Subjects including Marks OR
Tick Mark Languages/Major Average Grade
in the (Main)/Subsidiary Point Obtained
Relevant Subject, etc.
Box)
From (Month To (Month
and Year) and Year)
S. S. C or its 10 years ( )
equivalent
Higher Secondary, 1 year ( )
Pre-University or 2 years ( )
Intermediate
Graduation 1 st year
(Specify
degree.....................
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2 nd year
3 rd year
4 th year
Post – Graduation 1 st year
Degree
(Specify...................

.............................
2 nd year

3 rd year
4 th year

Other
Certificates/Diplomas
(Specify___________
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7.1 Explain any unaccounted period from the date of passing school (S.S.C. or equivalent examination) to the
date of this application

Period unaccounted How was this time spent?

From To

8. If you have applied for more than one programme, have you qualified for PIT/PI of any other Master’s?
Degree programme(s) at this Institute, in 2019-21 ? Yes / No

If yes, specify the name of the programme(s) and Registration Nos.

(a)
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(b)
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9. Why are you interested in pursuing this course? Please add pages, if necessary.

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10. Write your Biographical Sketch (not exceeding 250 words). The sketch is important as it enables the
Interview Panel to assess your interests. Please use separate sheet, if necessary.

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11. Mention any work done by you relevant to the field of study selected by you.
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12. Which languages do you know? Please mention your proficiency as good or fair or poor.

Language Speak Read Write

1. English
2.
3.
4.

13. Are you employed? If yes, please give the following details of your past and present job(s).

Name of Employer and Place of Work Designation and Nature of Work Years of Gross/Consolidated/
Service Monthly Salary
Drawn
(I)

(ii)

(iii)

(iv)