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APPLICATIONS FOR 9th PGP-PPM - Management Development ...

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Govemment of India<br />

MANAGEMENT DEVELOPMENT INSTITUTE I DEP,\RT\IE'\T OF PERSO'\'\EL & TRAI'\I'\C<br />

School of Public Policy and Governance Govcrnmcnt oflndia<br />

M,G. Road. Sukhrali, (Jurgaon-I22007 (I lary ana). India Block IV. Old JNI! Campus. New Mchrauli Road. New Ddhi-IIO 067<br />

lel: +91-124-4560553,4560000 (Exln-553) Fa>..-4560009 Phone: 011 - 26194167. Fax : 011 -26107962 ~<br />

Email id:s)ordmdi.ac.in.Web~ile:\\\\\\.mdi.ac.in<br />

APPLICATION <strong>FOR</strong> ADMISSION IN 9 1h POST GRADUATE PROGRAMME IN PUBLIC<br />

POLICY & MANAGEMENT (2014-15)<br />

(Programme Commences on April 8, 2014 Last date of receiving application is November ~qJ2013)<br />

(For DoPT sponsored candidates)<br />

PART-A<br />

Form No<br />

Ollice use<br />

Date of Receiving<br />

I. PERSONAL DETAILS<br />

Title (Mr/MslDr.)<br />

Full name In block 1',<br />

letters (First name, Middle<br />

name, Surname)<br />

Father's<br />

full name<br />

Mother's<br />

Gender<br />

full name<br />

(Put ..,J)<br />

~ I Female D<br />

Date of birth CD CD o:I:D Age as on [I] C:=I]<br />

DD MM Year 1 st Nov 2012 MM Year<br />

.<br />

National ity<br />

Religion<br />

Caste category (Put ..,J) I General c:=J ~ ~ ~<br />

2. MINISTRY/DEPARTMENT DETAILS<br />

Name of the Ministry<br />

I Department<br />

Designation<br />

Office Address<br />

State<br />

,<br />

PIN<br />

Telephone Nos Fax<br />

Service<br />

cadre with year of allotment<br />

Length of service<br />

in Group-A<br />

Are you presently on deputation to<br />

the Govt. of India (YeslNo)<br />

If yes, from which date<br />

Date of completion<br />

of tenure?<br />

MDI-Gurgaon (9'h <strong>PGP</strong>-rPM) Page 11

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