Post-Graduation diploma course


Application Form
   

I Personal Information

Name

Age

Marital status Married Single
Nationality
 Gender Male Female  
Current address and
telephone number
Permanent address
and telephone number
Religious affiliation
Tribe/Community:

II Academic Qualifications

Education level attained

(Begin with the most recent). Attach separate sheet if required.

Qualification

Division/Grade

University/Institution

Year of Passing

     
       
       
       
       
       

III Language Skills

Languages Known

(please tick the following based on the criteria of Fluent, Good, or Weak)

Language

Reading

Writing

Listening

Speaking

         
         
         
         
         

IV. Additional Information

Employment and work experience:

Please provide details of your work and employment experience and attach service letters (if applicable).

 

Extra Curricular Activities and Achievements:

Have you been a member of any professional, voluntary, community, or cultural society or organization? Please give details, and mention also any awards received or achievements accomplished:

Personal Interests:

Please give details of your personal interests and hobbies:

 

V. Personal Statement

In no more than 1000 words (typed or in clear handwriting), please describe relevant work and personal experiences that motivate and prepare you for study at the Henry Martyn Institute. Describe your objectives for study and the ways in which you expect to apply the training you receive. (Use an extra sheet of paper and attach them to your application form)

VI. Letter of Recommendation

Please forward a letter of reference from an organization that knows you and your work. The letter should comment on how long they have known you, in what capacity they have observed your work; your facility in spoken English; and in what ways they think this training will be helpful in your ongoing work.

VII. Application Deadline

The deadline for receipt of applications is 1 May 2004. Notifications about acceptance will be sent via email or fax. If you have any questions please feel free to contact us.

Programme Coordinator

Henry Martyn Institute

P.O. Box 153, Chirag Ali Lane

Hyderabad 500 001,  AP, India

Hyd1_hmiis@sancharnet.in

Hmiindia.com

91-040-23201134 – phone

91-040-23203954 – fax