Post Graduate Diploma Programme in Design (PGDPD)

APPLICATION FORM NO :
Please use black ball-point pen only. Use capital letters only. Fill in one letter per box leaving a blank box between words. Please fill the omr circles as shown here with black ball-point pen only. DO NOT tick or overfill the omr circles. Do not use blade or whitener to hide marks on omr circles. Application forms which are incorrectly or incompletely filled, or forms sent without required documents or forms sent with insufficient fees will lead to disqualification. please read the brochure carefully before filling the form.

CANDIDATE ID
TO BE FILLED BY THE OFFICE ONLY

TEST CENTRE (Select only one)

ahmedabad bengaluru bhopal chandigarh chennai delhi guwahati hyderabad kolkata lucknow mumbai nagpur
PLEASE PASTE YOUR RECENT PASSPORT SIZE COLOUR PHOTOGRAPH ATTESTED BY A GAZETTED OFFICER/ HEAD OF THE COLLEGE OR SCHOOL, HERE. DO NOT STAPLE

Post Graduate Diploma Programme in Design (PGDPD)

PERSONAL INFORMATION
First Name Middle Name Surname D D Date of Birth M M Y

Please select the discipline you are applying for: Select only one discipline from the list on the right side. Those applying for two disciplines should attach 2 separate sets of documents and 2 separate demand drafts alongwith 2 separate application forms. Eligibility Criteria: as mentioned in NID Admissions 2014-15 announcement.

Product Design Furniture & Interior Design Ceramic & Glass Design Graphic Design Animation Film Design Film & Video Communication Textile Design Transportation & Automobile Design Toy & Game Design

New Media Design Photography Design Apparel Design Lifestyle Accessory Design Strategic Design Management Design for Retail Experience Interaction Design Information Design

Gender

Female

Male

Category (tick only one) GENERAL Y Nationality RESERVED SC PH ST OBC

Place of Birth Postal Address (For Admissions related Communication)

(non creamy layer) (in the given format only)

Have you appeared for Admissions Interview at NID earlier? No Yes

Please mention the year

VILLAGE/TOWN/CITY STATE STD CODE - PHONE MOBILE EMAIL ID PINCODE

Have you applied for another discipline? No Specify discipline Yes

GUARDIANS INFORMATION
NAME RELATIONSHIP WITH CANDIDATE GUARDIANS PROFESSION GUARDIANS ANNUAL INCOME (IN RS.)

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EDUCATIONAL RECORD
start from Std. 10 Examination upto present)
exam board / degree / diploma subjects year of passing aggregate marks duration of programme school / college / univ./ institution

10th :

Please state your Qualifying Exam / Degree / Diploma and duration of programme attended / presently attending

In case of discontinuity or break in academic record, mention reason and explain your activities during that period

I certify that the information provided in this application form is accurate and complete to the best of my knowledge. I declare that I have read and understood the conditions of eligibility for the discipline/programme for which I seek admission. In the event of any information provided by me, found incorrect or misleading, my candidature shall be liable to cancellation by the institute at any time and I shall not be entitled to any refund of the fee paid by me to the institute. D
NAME OF THE CANDIDATE SIGNATURE DATE

M M

CHECKLIST FOR SUBMISSION OF APPLICATION FORM Please ensure that you have completely filled the application form in all respects and attached the following relevant documents with 5 no. of pages of this application form Hall Ticket (both copies - page nos 3 and 4) duly filled with photographs pasted. Attested copies of mark sheets of equivalent grades/ levels of SSC, HSC, completed years of graduation and degree certificate/ provisional certificate/ passing certificate (those who are studying in final year of graduation must submit bonafide certificate from the college) Attested copy of relevant certificate indicating date of birth. Attested copy of relevant certificate issued by competent authority for SC/ ST/ PH/OBC (non creamy layer) candidates, wherever required. For married candidates, this certifciate should be on your name and not husbands name. Demand Draft of Rs. 1500/- (for reserved category - Rs. 750/-) drawn in favour of National Institute of Design, payable at Ahmedabad. Please fill the details on page 5. Address slips duly filled on page 5.

IMPORTANT

Incorrectly filled and incomplete application forms, and using a pencil or colours other than specified, to fill this form may lead to disqualification from the selection procedure The completed application form, with relevant documents should reach only the address mentioned below on or before November 2, 2013. Application forms received after the last date shall be summarily rejected.

please send your application to

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NID Admissions 2014-15 National Institute of Design Paldi, Ahmedabad 380 007, India. Tel: +91-79-2662 3462

pgdpd
HALL TICKET
Please fill this Hall Ticket (both portions) in your own handwriting with adequate legibility. USE ALL CAPITAL LETTERS AND A BLUE OR BLACK BALL POINT PEN. The completed hall ticket (both copies) should be sent with the application form so as to reach the Admissions Office, NID on or before November 2, 2013. One copy of this hall ticket will be sent back to you after successful validation.
TO BE FILLED IN BY THE CANDIDATE
NAME ADDRESS (FOR ADMISSION RELATED COMMUNICATION)

CANDIDATE ID

TO BE FILLED BY THE OFFICE ONLY

TEST CENTRE (Select only one)

ahmedabad bengaluru bhopal chandigarh chennai delhi guwahati hyderabad kolkata lucknow mumbai nagpur
PLEASE PASTE YOUR RECENT PASSPORT SIZE COLOUR PHOTOGRAPH DO NOT STAPLE

CITY STATE

PINCODE COUNTRY SIGNATURE OF THE CANDIDATE OFFICIAL SEAL

CALL LETTER FOR POST GRADUATE DIPLOMA PROGRAMME IN DESIGN (PGDPD) 2014-15 DESIGN APTITUDE TEST ON SATURDAY, 11TH JANUARY 2014.
Entry to the examination centre will be on verification of this hall ticket by the test centre incharge or a representative. Candidates are required to carry this hall ticket/ call letter with them for the Design Aptitude Test and should produce the hall ticket issued by the institute to the exam supervisor/ test centre incharge/ invigilator/ observer on demand. The Candidate ID is to be used as a reference for all admission related matters/ queries.

Paldi, Ahmedabad 380 007, India. Email: admissions@nid.edu Tel: +91-79-2662 3462 Fax: +91-79-2662 1167

PLEASE NOTE THE ADDRESS OF YOUR TEST CENTRE

TO BE FILLED BY THE OFFICE

the institute is not responsible for incomplete

/ incorrectly filled hall tickets sent by the candidates

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While coming for Design Aptitude Test, candidates are required to bring this hall ticket, blue or black ball point pen, lead pencils (of varying grades), 12 shade colour pencil set, eraser, sharpeners, pair of scissors, glue, scale/ ruler, water/ poster colours, brushes and bowls for water. No other material except those specified here will be allowed inside the examination hall. Design Aptitude Test will be conducted from 10.00 am to 1.00 pm at all centres. Candidates should report to the test centre at least 25 minutes before the commencement of the test. The candidates will not be allowed to enter the examination hall after 15 minutes of commencement of the test. Candidates are NOT allowed to leave the examination hall within the first one hour of the commencement of the test. Candidates are NOT allowed to carry any electronic devices (mobile phones, palm-tops, calculators, i-pods, walkman, etc.) into the examination hall. Candidates appearing for two disciplines shall have to sit for the Admission Test of both the disciplines separately. They are required to carry both their hall tickets and inform the invigilator about this at the earliest.

copy

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pgdpd
HALL TICKET
Please fill this Hall Ticket (both portions) in your own handwriting with adequate legibility. USE ALL CAPITAL LETTERS AND A BLUE OR BLACK BALL POINT PEN. The completed hall ticket (both copies) should be sent with the application form so as to reach the Admissions Office, NID on or before November 2, 2013. One copy of this hall ticket will be sent back to you after successful validation.
TO BE FILLED IN BY THE CANDIDATE
NAME ADDRESS (FOR ADMISSION RELATED COMMUNICATION)

CANDIDATE ID

TO BE FILLED BY THE OFFICE ONLY

TEST CENTRE (Select only one)

ahmedabad bengaluru bhopal chandigarh chennai delhi guwahati hyderabad kolkata lucknow mumbai nagpur
PLEASE PASTE YOUR RECENT PASSPORT SIZE COLOUR PHOTOGRAPH DO NOT STAPLE

CITY STATE

PINCODE COUNTRY SIGNATURE OF THE CANDIDATE OFFICIAL SEAL

CALL LETTER FOR POST GRADUATE DIPLOMA PROGRAMME IN DESIGN (PGDPD) 2014-15 DESIGN APTITUDE TEST ON SATURDAY, 11TH JANUARY 2014.
Entry to the examination centre will be on verification of this hall ticket by the test centre incharge or a representative. Candidates are required to carry this hall ticket/ call letter with them for the Design Aptitude Test and should produce the hall ticket issued by the institute to the exam supervisor/ test centre incharge/ invigilator/ observer on demand. The Candidate ID is to be used as a reference for all admission related matters/ queries.

Paldi, Ahmedabad 380 007, India. Email: admissions@nid.edu Tel: +91-79-2662 3462 Fax: +91-79-2662 1167

PLEASE NOTE THE ADDRESS OF YOUR TEST CENTRE

TO BE FILLED BY THE OFFICE

the institute is not responsible for incomplete

/ incorrectly filled hall tickets sent by the candidates

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While coming for Design Aptitude Test, candidates are required to bring this hall ticket, blue or black ball point pen, lead pencils (of varying grades), 12 shade colour pencil set, eraser, sharpeners, pair of scissors, glue, scale/ ruler, water/ poster colours, brushes and bowls for water. No other material except those specified here will be allowed inside the examination hall. Design Aptitude Test will be conducted from 10.00 am to 1.00 pm at all centres. Candidates should report to the test centre at least 25 minutes before the commencement of the test. The candidates will not be allowed to enter the examination hall after 15 minutes of commencement of the test. Candidates are NOT allowed to leave the examination hall within the first one hour of the commencement of the test. Candidates are NOT allowed to carry any electronic devices (mobile phones, palm-tops, calculators, i-pods, walkman, etc.) into the examination hall. Candidates appearing for two disciplines shall have to sit for the Admission Test of both the disciplines separately. They are required to carry both their hall tickets and inform the invigilator about this at the earliest.

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Post Graduate Diploma Programme in Design (PGDPD)

TO BE FILLED IN BY THE CANDIDATE

PAYMENT DETAILS
Application forms have to be submitted along with a non refundable payment of Rs.1,500/- (Rs.750/for reserved categories) by a Demand Draft of any nationalised bank drawn in favour of the National Institute of Design payable at Ahmedabad. The application form, duly filled, with photographs and signatures, along with the relevant documents mentioned in the checklist (refer page 2) and Demand Draft should reach the Admissions Office, NID on or before November 2, 2013 at the address mentioned below. Application forms received after the last date shall be summarily rejected.
DD AMOUNT

Rs.1,500
for general category

Rs.750
for reserved category only (make sure you, have attached the relevent certificate for reserved category)

DD NUMBER

DATE OF ISSUE

NAME OF THE BANK

PLACE OF ISSUE

TO BE FILLED IN BY THE CANDIDATE

NAME ADDRESS (FOR ADMISSION RELATED COMMUNICATION)

TO BE FILLED IN BY THE CANDIDATE

NAME ADDRESS (FOR ADMISSION RELATED COMMUNICATION)

CITY STATE

PINCODE COUNTRY

CITY STATE

PINCODE COUNTRY

please cut along the dotted line, and paste it properly on the envelope, before sending by speedpost/registered ad

APPLICATION FORM FOR PGDPD

From
NAME ADDRESS

To,

NID Admissions 2014-15

Paldi, Ahmedabad 380 007, India.

NATIONAL INSTITUTE OF DESIGN

CITY STATE

PINCODE COUNTRY

Tel: +91-79-2662 3462

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