APPLICATION FORM
       
First Name
  :
       
Surname
  :
       
       
Address for Correspondence:
  :
 

           

City:  State: Pin:       
     
Telephone No:    
Res.:  Off:    Mobile :
     
Sex:                   Male      Female    Marital Status:
              
E-mail:      Date of Birth:  
 
Latest Qualification:
 Work Experience:
     
 Name of the Organisation
No. of Years
Designation
   
Reference Source: If Others Please Specify: For RBA, Please Specify your RBA Code:
   

 Course Applied for:

If PGDBA then please specify specialisation also:
        
   

 Undertaking by the student:

  • I agree to abide by rules and regulations of MITSDE.
  • I agree to dispatch 2 photographs and Xerox copies of degree diploma along with fees within 10 working days.
  • I have noted that fees once paid will not be refunded.
  • I agree not to divulge any information of training programme.
  • Stated course fees are valid for applied academic period only.

     Supporting Documents:
  • Mark sheet / Degree certificate
  • Two Photographs
  • Experience Certificate (for working student)
   

 Note :

  • All fees should be paid by D.D. drawn in the favour of "MIT School of Distance Education” payable at Pune.
  • Full course fees along with the supporting documents should be sent by post/courier within 7 working days.
  • Course material with Registration Login ID and Password will be issued with in 7 working days subject to realisation of DD.
  • Course material issued to students will be proprietary of MITSDE. Unauthorised reproduction is not allowed.  If done so, it will be violation of Copyright Act.

MIT SCHOOL OF DISTANCE EDUCATION               
1st floor, Unit W - 105, World Peace Centre,                       
124, Paud Road , Kothrud, Pune 411038.
Tel: (020)25465882, (020)25465883 Fax: (020)25454918, (020)25442770
Toll free No: 1800 - 233 – 6376

e-mail: admissions@mitsde.com

   
 
 
 
 
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