Last Date of Receipt of Completed Application Form: 31 st May, 2012

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1 COLLEGE OF SOCIAL WORK Nirmala Niketan Affiliated to the University of Mumbai 38, New Marine Lines Mumbai Telephone: / Fax: colsocwk@gmail.com Instruction for candidates applying for admission to THE MASTER S DEGREE IN SOCIAL WORK (MSW) Admission is open to both Men and Women (Tear off this sheet and preserve it for your reference) Last Date of Receipt of Completed Application Form: 31 st May, A candidate applying for Master s in Social Work should have the following minimum percentage of marks in all subjects (aggregate) at graduation or post-graduation level. General Category 50% Catholic Minority and Reserved Categories (SC/ST/DT/NT) 45% (And OBC recognized by the State of Maharashtra) 2. A candidate holding Bachelor s Degree in any discipline (Arts, Science, Commerce, and Social Work) of a recognized University is eligible to apply for admission to Master s Degree in Social Work. 3. Application forms of candidates, who have appeared for their graduation examination from Universities will be accepted pending result, provided that their results will be declared before the date of the Entrance Test. 4. All information asked for in the application form should be entered in Block letters or typed. Incomplete application form will not be accepted. 5. Two recent passport size photographs should be attached to the first page. 6. Attested copies of the following documents should be attached to the application form: (The original should be produced at the time of interview) a. Mark / Grade sheets of all examinations the applicant has completed, beginning with S.S.C. or its equivalent. b. Diploma / Certificates of training undergone other than degree education (E.g. Music, Dance, Social Service, Photography, Journalism etc.). c. Catholic Minority candidates should submit Baptism Certificate. d. All reserved category candidates should attach the Caste Certificate admission will be given on the basis of the rules of the Government of Maharashtra. e. Certificates mentioned in item No.19 of the application form. f. Candidates should submit attested copies of marksheet of 1 st,2 nd, and 3 rd year Examinations OR mark sheets of all Semesters and the passing certificates. 7. Foreign applicants should pay US $ 50 for application form and prospectus. 8. Applicants are expected to have adequate and good knowledge of English and a working knowledge of Hindi/Marathi. 9. The cost of form and prospectus may be paid either by cash or DD in favour of College of Social Work.

2 College of Social Work Nirmala Niketan (Affiliated to the 38, New Marine Lines University of Mumbai) Mumbai Application for Admission to THE MASTER S DEGREE IN SOCIAL WORK For Office Use: Application No: Photographs (Do not use Paste) (Pin or Staple here) Received on:. Write your name on the Letter Posted on:.. back of photograph for identification Remarks on Checking Certificates: Checked by:. SC ST NT *OBC Catholic Minority General Disability OBC candidates from outside Maharashtra State will be considered in the General Category. Name : (Write in CAPITAL) Surname : First: Middle: Name as in Last obtained marksheet : (Write in CAPITAL) Present Address : Permanent Address: address : Mobile No : Permanent Tel. No.: Age & Date of Birth: Marital Status : Place of Birth: Sex: Religion : Mother Tongue : Nationality :

3 2. Father s/husband s Name: (Surname) (First) (Middle) Age: Education: Living/Deceased: Occupation: (Describe and specify designation) Business Address: Telephone No/Mobile No: 3.Mother s/wife s Name: (Surname) (First) (Middle) Age: Education: Living/Deceased: Occupation: (Describe and specify designation) Business Address: Telephone No/Mobile No: 4. Name of the Guardian (For applicants outside Mumbai): Relationship to Applicant: Address: Tel. No. /Mobile No. (In Mumbai)/ Address: 5. Please give the following details about your immediate family members: Name Living or deceased Age Sex Education Occupation Marital Status Remarks 6. Any major illness or disability of the applicant and other members of the family.

4 7. Give the following particulars concerning your education starting from the School Leaving Certificate. Name and Place of Educational Institution Date of Entry and Leaving Stream Arts/Com/ Science/S.W Major Subjects Medium of Instruction No.of attempts / ATKTs University/Examin ation Board Certificate/ Diploma/Degree Total Marks obtained Out of Percentage (%) of Marks/ Grade S.S.C/I.C.S.C.E (circle appropriate) P.U.C/H.S.C/I.S.C Bachelor s Part I Bachelor s Part II Bachelor s Part III Master s Part I Master s Part II Any other degrees/diplomas/ce rtificates 8. If your education was not continuous after S.S.C. or equivalent examination, account for the breaks with explanation (a) (b) (c)

5 9a) Give Particulars of any other training you have undergone apart from your formal education (e.g., Courses in Music, Dancing, Social Service, Photography, Journalism etc.) Type of Training Period from Certificate or Diploma Other details you would like us to know to b)Hobbies, if any 9c) Give particulars of any award and/or scholarship obtained. State whether in school or college. 9d) Extra Curricular Activities Name of Association State whether in School, College or within Community Types of Activity Member or Office Bearer Remarks 10. Languages known indicating proficiency in each case: Use of Hindi/Marathi will be required for practice in the field Language Speak Read Write Understand

6 11. Work Experience Related to Social Work (Paid or Voluntary) Name and Place of Organisation Date of Joining Date of Leaving Nature of Work Paid/ Voluntary Position/ Designation Full or Part time 12. For Deputed Applicants: (i) Name of deputing organization: (ii) Nature of work done by the applicant: (iii) Duration of the appointment: (iv) Salary drawn: (A letter from the deputing agency with respect to the above, to be produced with the application form) 13. Details of any other members of your family or relatives engaged in social work Relationship to Applicant Name of Organisation Type of Activity Member or Office Bearer Remarks 14. Financial Resources for training: How will you meet your educational expenses? (i) From the family income (ii) Through government scholarship? (e.g. S.C., S.T., O.B.C., National Loan Scholarship etc.) (iii) Scholarships from any other organization (iv) Any other 15. Attach, on a separate sheet, a biographical statement of 300 words. This should include your interest in Social Work, your reasons for choosing it as a career, persons who have influenced your choice, experience in social work if any, and your plans after training. 16. Have you applied currently to any other educational institutions or place of employment? If so, please give details. 17. Hostel Facilities: (a) Do you need Hostel Accommodation? (b) If the hostel accommodation is not available (i) Would you still want admission? (ii) If yes where do you plan to stay? Yes / No Yes / No

7 19.Application must be accompanied by the following certificates (Please tick documents attached) Ø Certificate of Baptism (only for catholic ) Ø Caste Certificate where applicable Ø School leaving Certificate ( Attested copy) Ø Marksheet of S.S.C./H.S,C. or equivalent/ 1 st year / 2 nd year / 3 rd year Ø Any other degrees obtained Ø Two extra copies of photograph 2 ½ x 1 ½ for the Identity Card Ø Biographical statement Ø Married candidates should submit their marriage certificate (For change of name where necessary). INCOMPLETE FORMS WILL BE REJECTED AND NO QUERY WILL BE ENTERTAINED. Date Signature of the applicant

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