APPLICATION FORM FOR BSW(H)/MSW

This form duly filled in, with documents wherever necessary,

should be submitted on or before............................................
*Incomplete forms will not be entertained

Sir/Madam,

I hereby apply for admission in BSW(H)/MSW at AMIK for the session 2020 to 2021

.

Date : 19/04/2024

1. Course

: BSW MSW

2. Name(in block letters)

:

3. Father's Name/Guardian's Name/Husband's Name

:

4. Gender

: Male Female Trans

5. Date of Birth (enclose supporting document)

:

6. Nationality

:

7. Present Address (mailing address)

:
:
:
:
:

8. Whether SC/ST/Physically Handicapped

:

(attach attested copy of certificates)

9. Statement of marks obtained at different examinations (Attach attested copies of mark sheets)

10. Any other Information

:

11. Name of the Insttution Last Attended

:

12. Registration No. of the Board

:

Council/University lasr attended

DECLARATION BY STUDENT

I do hereby declare that information provided in this form is true to the best of knowledge and belief.

Date: 19/04/2024

Place:

Full Signature of the Applicant