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Application form SODE

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Application form SODE
NICMAR
NATIONAL INSTITUTE OF CONSTRUCTION
MANAGEMENT AND RESEARCH

SCHOOL OF DISTANCE EDUCATION
APPLICATION FORM
Instructions to Candidates
1. Fill the forms in your own handwriting.
2. No column should be left blank in any Form.
3. All candidates are required to fill all the required information in the
Application Form neatly and correctly.
4.

On the Acknowledgement Card, write your address on the reverse and affix a Rs.5/- postal stamp.

5.

Enclose a self addressed envelope (25 cm x 12 cm) bearing Rs. 5/- postal stamp. 6. All forms duly filled in alongwith the enclosures (i.e. attested copies of certificates & mark-sheets of SSC, HSC & Degree/Diploma and one passport size & one stamp size photograph), and a DD of Rs. 1124/- in favour of “NICMAR-SODE” payable at Pune should be sent by Registered
Post to:
The Dean-SODE
NATIONAL INSTITUTE OF CONSTRUCTION
MANAGEMENT AND RESEARCH
25/1, Balewadi
N.I.A. Post Office
Pune - 411 045.
Tel : (020) 66859241/42/43
020 - 65103208
Fax: (020) 27291057.
E-mail : code@nicmar.ac.in

NATIONAL INSTITUTE OF CONSTRUCTION
MANAGEMENT AND RESEARCH

NICMAR
Affix Passport
Size
Photograph

Application for Admission to

.........................................................................................

1.

Name

2.

Date of Birth

................ ................. ..................
Surname
Given Name Middle Name
Day

Month

Year

3.

Sex

4.

Present Address
(for correspondence)

.....................................................................
.....................................................................
.....................................................................
Tel.:..................... E-mail:............................

5.

Permanent Address

.....................................................................
.....................................................................

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