Examination Form Post Graduate Diploma in School Counselling

GRAM: UNIWOMEN PHONE : 26608462/26608493 Ext. 395SHREEMATI NATHIBAI DAMODAR THACKERSEYWOMEN’S UNIVERSITYPariksha Bhavan, Sir Vithaldas Vidyavihar, Juhu Road, Santacruz (W), Mumbai- 400 049.EXAMINATION FORMPOST GRADUATE DIPLOMA IN SCHOOL COUNSELLINGToController of Examinations,SNDT Women's University,Juhu, Santacruz (West),Mumbai - 400 049.Madam,I request your permission to appear for the Post Graduate Diploma in School Counselling Examination,be held in ___________________ at the Mumbai Centre. A fee of Rs. 825/- has already been paid. (Exam. Fee Rs. 525/- +Exam. Form Fee Rs. 45/- + Marksheet Rs.75/- + Practical Fees Rs.180/-)Seat Number: _________________Please pasteone copy of yourphotograph hereand another onIdentityFull Name of the Candidate: ______________________________________________________________________(Write in Capital Letters) Surname First Name Father's / Husband's NameAddress for Correspondence: __________________________________________________________________________________________________________________________toI wish to appear in the following paper:-Compulsory Papers(1) Guidance & Counselling(2) Measurement and Statistical Methods(3) School Psychology(4) Practicum(5) A ProjectMedium: ______________Caste : SC [1] [ ] ST [2] [ ] OBC [3] [ ] DT/NT [4] [ ] Others [5] [ ]Marital Status : Unmarried [1] [ ] Married [2] [ ] Divorced [3] [ ] Widow [4] [ ]Date of Birth : _____________________I declared that the information furnished in this form is true to the best of my knowledge and belief.Yours faithfully,Date:____________________________________(Signature of the Student)( P.T.O.)

Details of the last qualifying examination passed(For candidates appearing for Post Graduate Diploma In School Counselling Examination)- 2 -Name of the Last QualifyingExamination andBoard / UniversityName under which youappeared for the examinationSeat Number Centre Result(Certificate from the Head of the Department in case of regular candidate or Ex-student)Ms.___________________________________________has in the year 200 -200 satisfactorily completed the courseprescribed by the University and has, for the number of days specified below, attended the lectures in accordance with theUniversity Regulations.Number of days attendedRemarksFirst Term :FromToSecond Term :FromToI certify that to the best of my knowledge and belief, the said candidate is a person of good conduct and that she has mypermission to appear for the Post Graduate Diploma in School Counselling Examination, of the SNDTWomen's University, Mumbai.______________ ___________________ ___________________Date Department Stamp Signature of theHead of the DepartmentIMPORTANT INSTRUCTIONS1. All the items in the examination form should be completely filled in. In the event of any of the items not beingfilled in; a fresh examination form will have to be filled in for which the candidate will be charged Rs.30/-.2. Payment of fees should be in cash or by demand draft only. In case payment is by demand draft address it toThe Registrar, SNDT Women's University and Mumbai.3. In case of a change in the name, a Certificate from an S.E.M. or Magistrate bearing the Office Stamp andcertifying the change in the name after marriage or the original copy of the Government Gazette, notifying thename after marriage, is necessary. In all other cases, only the original copy of the Government Gazette,notifying the changes in the name is necessary.4. Please attach an attested Xerox copy of the Statement of the Marks of the last examination attended.