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    Blended Learning 8weeks - Application

    Uploaded by

    Angelinejenifer S
    This document provides information about a blended PG Certificate Course in Psychological Counselling offered by Christian Counselling Centre in three batches: Course No. 169 from October 7, 2020 to November 27, 2020 with an application deadline of July 8, 2020. Course No. 170 from January 12, 2021 to March 5, 2021 with an application deadline of August 1, 2020. Course No. 171 from March 16, 2021 to May 7, 2021 with an application deadline of September 1, 2020. The document also includes an application form for the course seeking personal and contact details.

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    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Blended Learning 8weeks - Application

    Uploaded by

    Angelinejenifer S
    11 views4 pages
    This document provides information about a blended PG Certificate Course in Psychological Counselling offered by Christian Counselling Centre in three batches: Course No. 169 from October 7, 2020 to November 27, 2020 with an application deadline of July 8, 2020. Course No. 170 from January 12, 2021 to March 5, 2021 with an application deadline of August 1, 2020. Course No. 171 from March 16, 2021 to May 7, 2021 with an application deadline of September 1, 2020. The document also includes an application form for the course seeking personal and contact details.

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    Blended learning 8weeks_application

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    This document provides information about a blended PG Certificate Course in Psychological Counselling offered by Christian Counselling Centre in three batches: Course No. 169 from October 7, 2020 to November 27, 2020 with an application deadline of July 8, 2020. Course No. 170 from January 12, 2021 to March 5, 2021 with an application deadline of August 1, 2020. Course No. 171 from March 16, 2021 to May 7, 2021 with an application deadline of September 1, 2020. The document also includes an application form for the course seeking personal and contact details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    11 views4 pages

    Blended Learning 8weeks - Application

    Uploaded by

    Angelinejenifer S
    This document provides information about a blended PG Certificate Course in Psychological Counselling offered by Christian Counselling Centre in three batches: Course No. 169 from October 7, 2020 to November 27, 2020 with an application deadline of July 8, 2020. Course No. 170 from January 12, 2021 to March 5, 2021 with an application deadline of August 1, 2020. Course No. 171 from March 16, 2021 to May 7, 2021 with an application deadline of September 1, 2020. The document also includes an application form for the course seeking personal and contact details.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 4

    APPLICATION FOREIGHT WEEKS BLENDED PG CERTIFICATE COURSE IN

    PSYCHOLOGICAL COUNSELLING IN BLENDED FORMAT

    1. Course. No. 169: 7th October to 27th November, 2020 - Deadline for Application, ( 8th July 2020)
    2. Course. No. 170: 12th January to 5th March, 2021 - Deadline for Application, (1stAugust 2020)
    3. Course. No. 171: 16th March to 7th May 2021 - Deadline for Application, (1stSeptember 2020)

    (Please mention course no……….and dates............................................…………..)

    Name (INCAPITALLETTER) :

    Sex :

    Age :

    PresentPosition :

    EducationalQualifications :

    MaritalStatus :

    Nationality :

    Religion :
    (If Christian, give denomination)

    Languagesspokenfluently :

    1
    Full CurrentAddressforcorrespondence : Street/ House No.:

    City/Town:
    State:
    Zip:

    Permanent Addressforcorrespondence : Street/ House No.:

    City/Town:
    State:
    Zip:

    Contact Phone No.:


    MobileNo. :

    WhatsAppNo, :
    Email ID :

    Name & contact details of two people 1.


    who knows you and recommend

    2.

    If sponsored :
    Endorsement Letter and address of:
    Sponsoring authority

    2
    Are undergoing anypsychiatrictreatment? : Yes /No.
    If Yes, describe the nature of the treatment.

    Enclosure(pleasetick) : 2 PageStatement
    (Statement about your occupational background and
    why you want to do this course? And how do you hope
    to use knowledge and competence gain in yourwork.)

    1. Indian citizens residing and working in India: This application form needs to be sent along with
    an application fee of Rs 500/-and you can arrange to send your application fee by way of Cheque or
    Demand Draft drawn in favour of The Director, Christian Counselling Centre, payable at Vellore on
    any bank . You can also send directly through your bank to Christian Counselling Centre, Bank
    account details of which are noted below. Kindly send the reference of your payment to the CCC
    email www.cccindia2000@gmail.com so that we can check with our account department and send
    you the receipt.

    BANK DETAILS

    Account Holders Name : Christian Counselling Centre, Vellore


    Name of Bank : Indian Overseas Bank,
    Allapuram Branch,
    Vellore – 632001.
    Tamil Nadu
    SB Account No : 063401000012246
    IFSC Code No : IOBA 0000634

    2. Non- Residential Indian/ Foreign Nationals : This application form needs to be sent along with an
    application fee of US$ 30/- and you can arrange to send your application fee directly through your
    bank to Christian Counselling Centre, Bank account details of which are noted below. Kindly send
    the reference of your payment to the CCC email www.cccindia2000@gmail.com so that we can
    check with our account department and send you the receipt.

    BANK DETAILS

    Account Holders Name : Christian Counselling Centre, Vellore


    Name of Bank : Indian Overseas Bank,
    Allapuram Branch,
    Vellore – 632001.
    Tamil Nadu
    SB Account No : 063401000012246
    IFSC Code No : IOBA 0000634

    3
    SWIFT Code No : IOBAINBB001
    3. Citizens of SAARC Countries other than India: This application form needs to be sent along
    with an application fee of US$ 15/- and you can arrange to send your application fee directly through
    your bank to Christian Counselling Centre, Bank account details of which are noted below. Kindly
    send the reference of your payment to the CCC email www.cccindia2000@gmail.com so that we can
    check with our account department and send you the receipt.

    BANK DETAILS

    Account Holders Name : Christian Counselling Centre, Vellore


    Name of Bank : Indian Overseas Bank,
    Allapuram Branch,
    Vellore – 632001.
    Tamil Nadu
    SB Account No : 063401000012246
    IFSC Code No : IOBA 0000634
    SWIFT Code No : IOBAINBB001

    Date: Signature of the applicant

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