INDORE SCHOOL OF SOCIAL WORK

13-14, Old Sehore Road, Indore-452001 (M.P.)

(Affiliated to the Devi Ahilya University, Indore)

APPLICATION FOR ADMISSION

ADMISSION INFORMATION

1 Any person who has obtained the Bachelor’s Degree of the Indore University (DAVV), or a
Degree of another University recognized as equivalent there to, with not less than 45% marks in
the aggregate average, is eligible for admission in MSW.
2 Any person who has completed the Higher Secondary of CBSE or State Boards with an aggregate
percentage of 50% is eligible to apply for BSW course.
3 All applications for admission to the School must be submitted on the prescribed form, and
accompanied by the fee of Rs. 500.00 (cost of the prospectus for MSW and PGD HRD) so as to
reach the office of the School not later than the prescribed last date. For BSW course the cost of
the application form and prospectus is Rs.300/- only. If sent by P.O. /DD/Cheque, it should be
crossed and drawn in favour of the ‘Principal, Indore School of Social Work’.

MSW/PG Dip.HRD/ BSW

Ph.D. in Social Work/Sociology
Photo
Course for which the application is submitted.

Year:

1. Full name of the candidate: Shri/Smt/Kumari ………………………………………….

(In BLOCK Letters)
2. Age as on last birthday: ………………………………………………
3. Highest University Degree obtained: …………………………………
4. If studying in college now, or if enrolled
for any course, name class/ course …………………………………………
5. Full permanent address (BLOCK Letters)
……………………………………………………………………
……………………………………………………………………
……………………………………………………………………
Phone…….……………. Email:……………………………………………

6. Present address. (if different from 5)

…………………………………………………………………..
………………………………………………………………..…
………………………………………………… Phone…….…………………….
(All communication will be sent to this address unless instructed otherwise)

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7. Nearest railway station : ……………………………………
8. Mother tongue : ……………………………………
9. Blood Group :…………………………………….

10. Academic qualifications: (From School-leaving onwards):

Name of the Year of Name of Qualification Class or Marks Aggregate Subject

Institution: Start passing School/ Obtained Division Obtained or offered
with High University (out of) Percentage
School

Copies of Certificate and marks-sheet of bachelor’s degree/Higher Secondary obtained must

be attached in support.

11. Institution last attended: ………………………………………………………………..

12. Father’s Name: ………………………………………………………..

13. Father’s Occupation and address: ………………………………………………………

………………………………………………………………………………………….
Phone No…………………………………..
14. Mother’s Name: ……………………………………………………..
15. Mother’s occupation:…………………………………………………………………..
16. Monthly Income: ……………………………

17. Guardian’s name, address and occupation: (If father not alive) and his relation with
the applicant)
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
18. Marital Status: Unmarried/ Married/ Widowed/ any other (Specify)
(Strike out words not applicable)

19. Whether belonging to the Scheduled Caste/ Scheduled Tribe/ Backward Class:
Yes/No
if ‘yes’ specify : …………………………………….

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20. What languages can you Read… ………………………………………………………
Write………………………………………………………..
Speak……………………………………………………….

21. Whether suffering from any physical handicap or not?...................................................

22. Special Paper preferred (Only for MSW Course) State in order of preference. The
Choices are 1. (Labour Welfare and Personnel Management 2. Medical and
Psychiatric Social Work 3. Urban and Rural Community Development (Seats in L.W.
& P.M. are limited)

1. ……………………………………………………………………

2. ……………………………………………………………………

23. Have you ever been gainfully employed? If so, give details.
…………………………………………………………………………………………
…………………………………………………………………………………………
…………………………………………………………………………………………
24. Name Games, Hobbies and Cultural activities of interest to you.

a) ……………………………………….
b) ………………………………………
c) ……………………………………..

25. Have the following documents been attached? Check Carefully:

1. DD/PO/Cheque for the prescribed fees (Yes/No)

2. Copy of marks obtained at the High School, Higher Secondary, and Bachelor degree
Examination (Yes/No)
3. Copy of degree certificate/provisional certificate (Yes/No)
4. Copy of Transfer Certificate (for candidates from the University Indore) (Yes/No)
5. Migration Certificate in original (for candidates from a University other than Indore)
(Yes/No)
6. At least two testimonials in original (One of them from the Principal of the college last
attended) (Yes/No)

26. Attach biographical statement of approximately 500 words covering the following
question: your family background and School, College life, your assessment of your
own abilities and short-comings; reason for choosing social work/ HRD as a career, your
field of social interest; any specific plan that you have for your future after completing
the course in social work.

27. I declare that I have neither withheld information nor given false information on any
point in this application. I certify that all statements made in this application are true.

Date:……………………….. Signature of Applicant

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28. I hereby declare that I take full responsibility for the good conduct of my ward
Shri/Shrimati/Kumari…………………………………………………………………and
should he/she be involved in misbehavior, inadequate attendance in class, indiscipline,
the authorities of the Indore School of Social Work may take any disciplinary action
thought necessary by them.

Date:……………………….. Signature of Guardian

___________________________________________________________________________

For Office use only

Application and Prospectus fee received or not? ………………………………………….
Date………………………...
Receipt No. and date and whether PO//DD/Cheque…………………...
Action taken:

Signature