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I Personal
Information |
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Name |
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Age |
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Marital status |
Married
Single |
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Nationality |
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Male
Female |
Current address and
telephone number |
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Permanent address
and telephone number |
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Religious affiliation |
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| Tribe/Community: |
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II
Academic
Qualifications
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Education level attained
(Begin with the most recent). Attach separate
sheet if required.
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Qualification |
Division/Grade |
University/Institution |
Year of Passing
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III
Language Skills |
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Languages
Known
(please
tick the following based on the criteria of Fluent, Good, or
Weak) |
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Language |
Reading |
Writing |
Listening |
Speaking |
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IV.
Additional Information |
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| Employment
and work experience:
Please provide details of your
work and employment experience and attach service letters (if
applicable).
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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: |
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| Personal
Interests:
Please give details of your
personal interests and hobbies:
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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)
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VI.
Letter of Recommendation
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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. |
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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 |