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1 Srishti School of Art Design and Technology Srishti School of Art Design Application and Technology Srishti School for of Art Design and Technology Srishti School of Art Design and Technology PASTE A RECENT COLOUR Srishti School of Art Design and Technology Srishti School Advanced of Art Design and Technology Diploma Srishti School Program of Art Design and in Technology Srishti School of Art PHOTOGRAPH Design and HERE Technology Animation & Visual Effects Please type or print in black ink. Mail the completed application forms with the completed reference form to the Srishti Admissions Office Office use only APP. DATE APP. NUMBER PERSONAL INFORMATION Name first middle last Date of Birth Permanent Home Address DD MM YYYY Place of Birth Tel No. Mobile Preferred Mailing Address (If different from above) Father s Name Mother s Name Occupation Occupation Office Address Office Address Tel No. Mobile Tel No. Mobile Citizenship Indian Other (Please Specify) Local Guardian s Name Address Occupation Tel No. Srishti School of Art, Design and Technology P O Box No. 6430, Opp. Wheel and Axle Plant, Off Doddaballapur Road, Yelahanka New Town, Bangalore , Karnataka Tel: / / 65 / 66 Telefax: admissions@srishti.ac.in Website: srishti.ac.in Completed application form, and all supporting documents should reach the Srishti office by 27 th February 2010.
2 EDUCATIONAL DATA List of Secondary Schools / Colleges / Courses you have attended. Please start with most recent first Date Institution and Location Marks/Grade (%) in Exam Passed Board of Exam State/ ISC/ CBSE/IB/ A Level/ Others Details of proficiency in Animation Software / Other Software Name of Software Which specific skill do you consider yourself good at eg. 3D Modelling, Lighting, Texturing, etc. Describe your most recent project where you used the software
3 TALENTS & SKILLS Mark yourself on a scale of 1 to 10 (1= poor - 10=outstanding) Drawing Painting Music Dancing Public Speaking Other (please specify) Acting Writing Details of Employment (if any). Please start with most recent first Date (From-To) Name of Organisation & Address Job Description & Position Salary / Income Extracurricular, Personal and Volunteer Activities Activity Approximate time spent Position held or Honours earned
4 LEARNING OBJECTIVES: Explain in 250 or more words your key motivation for applying (Use additional sheets if necessary)
5 YOUR SUITABILITY: List any skills, experiences, ideas or any other assets that you believe make you an ideal candidate (Use additional sheets if necessary)
6 ACADEMIC HONOURS Briefly list or describe any scholastic distinctions or honours you have won beginning from ninth grade (Std. IX) EXPERIENCE / SKILLSETS POSSESSED (IN ONE OR MORE) 3D Modelling Architecture Digital Video & Sound Product Design Conceptual / Installation Arts Computing / Programming Biology Electronics Music I HEARD ABOUT SRISHTI FROM Friends or Relatives School Counsellor Print Ad (specify publication) Internet Ad (specify source) Internet Search (specify search engine) Other (specify) APPLICATION FEE DD enclosed DOCUMENTS AND OTHER REQUIREMENTS Please submit the following with this form: 1. A Demand Draft favouring "Srishti" for Rs.2500/- (non-refundable processing fee), payable at Bangalore, with your name clearly written on the reverse. 2. Open reference forms fully completed and signed by the referee (two references required). 3. Copies of your most recent mark sheets / transcripts. 4. Two recent colour passport size photos. 5. Attach a portfolio of creative work you have been involved with in the form of a CD/DVD-ROM. Please note that material submitted will not be returned under any circumstances. SIGNATURE I certify that all the information in my application is factually true, and honestly presented. Signature Date
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