BPHES' CSRD ISWR

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Bhaskar Pandurang Hiwale Education Society's

Centre for Studies in Rural Development – Institute of Social Work & Research, Ahmednagar

NAAC accredited 'A' Grade Institution

Application Form for Admission 2022-24

Last Date: 14 August 2022

Course Opted for

Master in Social Work (MSW)

Master of Arts (Mass Relations)

Select Grant opted for
(You can select multiple) *

Grant-in-Aid Division

Non Granted Division

Specialization opted for
(Give one preferences) *

Urban and Rural Community Development (URCD)

Family and Child Welfare (FCW)

Human Resource Development (HRM)

Medical and Psychiatric Social Work (MPSW)

Salute *

Mr Ms

First Name *

Middle Name

Last Name *

Email #

Address for Communication *

Candidate's Mobile Number

Parent's Mobile Number

Permanent Address (if different from above)

Telephone

Category *

Christian Minority

OBC

General

Person with Disability

Foreign Student

Deputed Candidate

(SC/ST/OBC/PWD/minority applicants must attach a recently attested copy of the relevant document (Caste Certificate/ Certificate of disability/baptism and church membership certificate) issued by a competent authority.)

Sex *

Male Female

Date of Birth *

Marital Status *

Unmarried Married Widow Divorced

Nationality *

Do you need hostel accomodation?

Yes No

Will you accept adimission without hostel?

Yes No

Your parent's/guardian's income during 2019-20 to 2020-21 financial years *

Specify the degree completed/appeared * (For eg. BA/B.Sc./BSW/B.Com)

Educational Details *

Name of Exam	Name of Board /University	Year of Passing	Total Mark	Max Mark	%
12th Standard
Graduation
Any Other

Mention Languages you can speak / write

Language (specify)	Speak	Write
Marathi
English
Hindi

Mention co-curricular activities you participated in your school/college

Are you gainfully employed at present?

Yes No

Mention your hobbies

Category *

Institutes Students

Others

CSRD Website

Did you apply for the admission to this course earlier?

Yes No

If yes, please mention year

Relative studied social work at CSRD?

Yes No

If yes, please mention the name and the year of passing

Give your biographical sketch as per the format ( Click here to download the format) and submit along with the hard copy of printed application form. The sketch is important as it enables the interview Panel to assess your readiness for social work education and what motivates you to choose social work profession. This statement should briefly cover important experiences, interests and abilities as they relate to your seeking admission to this programme.

Please upload soft copy here *

Declaration by the candidate

I hereby declare that the information furnished in the Application Form is complete and accurate. I have also noted that I will be called for tests based on the information provided therein, as above. I also agree that the institute has the right to cancel my candidature, if the institute finds that any information provided therein is incomplete or misleading or ineligibility being detected before or after the admission tests.

Type the characters *

Note: * Mandatory field & # Key field for form submission