Master of Design APPLICATION FORM NO : PLEASE USE BLACK BALL-POINT PEN ONLY. USE CAPITAL LETTERS ONLY. FILL IN ONE LETTER PER BOX LEAVING A BLANK BOX BETWEEN WORDS. PLEASE FILL THE OMR CIRCLES AS SHOWN HERE WITH BLACK BALL-POINT PEN ONLY. DO NOT TICK OR OVERFILL THE OMR CIRCLES. DO NOT USE BLADE OR WHITENER TO HIDE MARKS ON OMR CIRCLES. APPLICATION FORMS WHICH ARE INCORRECTLY OR INCOMPLETELY FILLED, OR FORMS SENT WITHOUT REQUIRED DOCUMENTS OR FORMS SENT WITH INSUFFICIENT FEES WILL LEAD TO DISQUALIFICATION. PLEASE READ THE BROCHURE CAREFULLY BEFORE FILLING THE FORM. CHANDIGARH MUMBAI SELF ATTESTED. Master of Design Please select the discipline you are applying for: Select only one discipline from the list on the right side. Those applying for two disciplines should attach 2 separate sets of documents and 2 separate demand drafts alongwith 2 separate application forms & send in two separate envelopes. Eligibility Criteria: as mentioned in NID Admission Brochure. Product Design Furniture Design Ceramic & Glass Design Graphic Design Animation Film Design Film & Video Communication Textile Design Transportation & Automobile Design Toy & Game Design New Media Design Photography Design Apparel Design Lifestyle Accessory Design Strategic Design Management Design for Retail Experience Interaction Design Information Design Universal Design Digital Game Design PERSONAL INFORMATION First Name Gender Female Male Transgender Middle Name Category (tick only one) Surname GENERAL Date of Birth D D M M Y Y Nationality RESERVED SC ST Place of Birth Postal Address (For Admissions related Communication) PH Have you appeared for Admission Interview at NID earlier? OBC (non creamy layer) Issued after 31st March, 2014. (in the given format only) No Yes Please mention the year VILLAGE/TOWN/ STD CODE - PHONE MOBILE EMAIL ID GUARDIAN S INFORMATION RELATIONSHIP WITH CANDIDATE GUARDIAN S PROFESSION GUARDIAN S ANNUAL INCOME (IN `) Page 1 of 5
EDUCATIONAL RECORD Start from Std. 10 Examination upto present) EXAM BOARD / DEGREE / DIPLOMA SUBJECTS YEAR OF PASSING OVERALL PERCENTAGE/ GRADE OBT. DURATION OF PROGRAMME SCHOOL / COLLEGE / UNIV./ INSTITUTION 10th : Please state your Qualifying Exam / Degree / Diploma and duration of programme attended / presently attending In case of discontinuity or break in academic record, mention reason and explain your activities during that period I certify that the information provided in this application form is accurate and complete to the best of my knowledge. I declare that I have read and understood the conditions of eligibility for the discipline/programme for which I seek admission. In the event of any information provided by me, found incorrect or misleading, my candidature shall be liable to cancellation by the institute at any time and I shall not be entitled to any refund of the fee paid by me to the institute. D D M M Y Y OF THE CANDIDATE SIGNATURE DATE CHECKLIST FOR SUBMISSION OF APPLICATION FORM Please ensure that you have completely filled the application form in all respects and attached the following relevant documents with 5 no. of pages of this application form Hall Ticket (both copies - page nos 3 and 4) duly filled with photographs pasted. Self Attested copies of mark sheets of equivalent grades/ levels of SSC, HSC, completed years of graduation and degree certificate/ provisional certificate/ passing certificate (those who are studying in final year of graduation must submit bonafide certificate from the college) Self Attested copy of relevant certificate indicating date of birth. Self Attested copy of relevant certificate issued by competent authority for SC/ ST/ PH/OBC (non creamy layer) candidates, wherever required. This certifciate should be on your name and not spouse s/ parent s name. OBC (Non-Creamy layer) certificate should be issued after 31st March, 2014. Demand Draft of ` 1500/- [for General & OBC (Non-Creamy layer) categories] and ` 750/-[for SC/ ST/ PH catergories] drawn in favour of National Institute of Design, payable at Ahmedabad. Please fill the details on page 5. Please write your name & address at the back side of the demand draft. Address slips duly filled on page 5. IMPORTANT Incorrectly filled and incomplete application forms, and using a pencil or colours other than specified, to fill this form may lead to disqualification from the selection procedure The completed application form, with relevant documents should reach only the address mentioned below on or before November 21, 2014. Application forms received after the last date shall be summarily rejected. PLEASE SEND YOUR APPLICATION TO NID Admissions National Institute of Design Tel: +91-79-2662 3462 Page 2 of 5
M.Des. HALL TICKET Please fill this Hall Ticket (both portions) in your own handwriting with adequate legibility. USE ALL CAPITAL LETTERS AND A BLUE OR BLACK BALL POINT PEN. The completed hall ticket (both copies) should be sent with the application form so as to reach the Admissions Office, NID on or before November 21, 2014. One copy of this hall ticket will be sent back to you after successful validation. CHANDIGARH MUMBAI SIGNATURE OF THE CANDIDATE OFFICIAL SEAL COPY 1 OF 2 CALL LETTER FOR MASTER OF DESIGN PROGRAMME DESIGN APTITUDE TEST ON SATURDAY, 10 TH JANUARY 2015. TIME: 10:00 am to 01:00 pm Entry to the examination centre will be on verification of this hall ticket by the test centre incharge or a representative. Email: admissions@nid.edu Tel: +91-79-2662 3462 Fax: +91-79-2662 1167 PLEASE NOTE THE ADDRESS OF YOUR TEST CENTRE Candidates are required to carry this hall ticket/ call letter with them for the Design Aptitude Test and should produce the hall ticket issued by the institute to the exam supervisor/ test centre incharge/ invigilator/ observer on demand. TO BE FILLED BY THE OFFICE The Candidate ID is to be used as a reference for all admission related matters/ queries. While coming for Design Aptitude Test, candidates are required to bring this hall ticket, blue or black ball point pen, lead pencils (of varying grades), 12 shade colour pencil set, eraser, sharpeners, pair of scissors, glue, scale/ ruler, water/ poster colours, brushes and bowls for water. No other material except those specified here will be allowed inside the examination hall. Design Aptitude Test will be conducted from 10.00 am to 1.00 pm at all centres. Candidates should report to the test centre at least 25 minutes before the commencement of the test. The candidates will not be allowed to enter the examination hall after 15 minutes of commencement of the test. Candidates are NOT allowed to leave the examination hall within the first one hour of the commencement of the test. Candidates are NOT allowed to carry any electronic devices (mobile phones, palm-tops, calculators, i-pods, walkman, etc.) into the examination hall. THE INSTITUTE IS NOT RESPONSIBLE FOR INCOMPLETE / INCORRECTLY FILLED HALL TICKETS SENT BY THE CANDIDATES Page 3 of 5
M.Des. HALL TICKET Please fill this Hall Ticket (both portions) in your own handwriting with adequate legibility. USE ALL CAPITAL LETTERS AND A BLUE OR BLACK BALL POINT PEN. The completed hall ticket (both copies) should be sent with the application form so as to reach the Admissions Office, NID on or before November 21, 2014. One copy of this hall ticket will be sent back to you after successful validation. CHANDIGARH MUMBAI SIGNATURE OF THE CANDIDATE OFFICIAL SEAL COPY 2 OF 2 CALL LETTER FOR MASTER OF DESIGN PROGRAMME DESIGN APTITUDE TEST ON SATURDAY, 10 TH JANUARY 2015. TIME: 10:00 am to 01:00 pm Entry to the examination centre will be on verification of this hall ticket by the test centre incharge or a representative. Email: admissions@nid.edu Tel: +91-79-2662 3462 Fax: +91-79-2662 1167 PLEASE NOTE THE ADDRESS OF YOUR TEST CENTRE Candidates are required to carry this hall ticket/ call letter with them for the Design Aptitude Test and should produce the hall ticket issued by the institute to the exam supervisor/ test centre incharge/ invigilator/ observer on demand. TO BE FILLED BY THE OFFICE The Candidate ID is to be used as a reference for all admission related matters/ queries. While coming for Design Aptitude Test, candidates are required to bring this hall ticket, blue or black ball point pen, lead pencils (of varying grades), 12 shade colour pencil set, eraser, sharpeners, pair of scissors, glue, scale/ ruler, water/ poster colours, brushes and bowls for water. No other material except those specified here will be allowed inside the examination hall. Design Aptitude Test will be conducted from 10.00 am to 1.00 pm at all centres. Candidates should report to the test centre at least 25 minutes before the commencement of the test. The candidates will not be allowed to enter the examination hall after 15 minutes of commencement of the test. Candidates are NOT allowed to leave the examination hall within the first one hour of the commencement of the test. Candidates are NOT allowed to carry any electronic devices (mobile phones, palm-tops, calculators, i-pods, walkman, etc.) into the examination hall. THE INSTITUTE IS NOT RESPONSIBLE FOR INCOMPLETE / INCORRECTLY FILLED HALL TICKETS SENT BY THE CANDIDATES Page 4 of 5
Master of Design PAYMENT DETAILS Application forms have to be submitted along with a non refundable payment of ` 1,500/- [for General & OBC (NCL) Categories] and ` 750/- [for SC/ ST/ PH Categories] by a Demand Draft of any nationalised bank drawn in favour of the National Institute of Design payable at Ahmedabad. ` 1,500 ` 750 DD AMOUNT for general category/ for SC/ST/PH category OBC (Non-Creamy Layer) category DD NUMBER Make sure you, have attached the relevent certificate for reserved category The application form, duly filled, with photographs and signatures, along with the relevant documents mentioned in the checklist (refer page 2) and Demand Draft should reach the Admissions Office, NID on or before November 21, 2014 at the address mentioned below. Application forms received after the last date shall be summarily rejected. DATE OF ISSUE OF THE BANK PLACE OF ISSUE Page 5 of 5 PLEASE CUT ALONG THE DOTTED LINE, AND PASTE IT PROPERLY ON THE ENVELOPE, BEFORE SENDING BY SPEEDPOST/REGISTERED AD APPLICATION FORM FOR M.Des. From ADDRESS To, NID Admissions NATIONAL INSTITUTE OF DESIGN Tel: +91-79-2662 3462