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. Design aptitude tests for SELF ATTESTED PROGRAMME OF STUDY (Select only one) PERSONAL INFORMATION First Name Middle Name Surname Bachelor of Design P rog ramme (B.Des.) ALLOTMENT of the discipline of choice at the end of foundation year is NOT guaranteed. Discipline allotment takes place only at the end of the first year (Foundation Programme), based purely on student s performance in the Foundation Programme and the number of seats available in desired discipline Eligibility criteria Higher Secondary (10+2) from State board / CBSE/ CISCE / IB or equivalent grades / levels in schooling system abroad (Refer to website: admissions.nid.edu) Master of Design Programme (M.Des.) Select only one discipline from the list below. Use a separate form for selecting a second choice of discipline. Those applying for 2 disciplines should attach 2 separate sets of documents with 2 application forms and two separate demand drafts & send in 2 separate envelopes. Eligibility Criteria: as mentioned in NID Admissions Brochure 2015-16. Product Design Photography Design Furniture Design Apparel Design Ceramic & Glass Design Lifestyle Accessory Design Graphic Design Strategic Design Management Animation Film Design Design for Retail Experience Film & Video Communication Interaction Design Textile Design Information Design Transportation & Automobile Design Universal Design Toy & Game Design Digital Game Design New Media Design Gender Female Transgender Foreign National SAARC countries Male Date of Birth D D M M Y Y Nationality African countries Place of Birth Residence Address (of the country you are residing in, and not an address anywhere in India) Cambodia Laos Myanmar Vietnam PARENT / GUARDIAN S INFORMATION VILLAGE/TOW N/ ISD CODE - PHONE RELATIONSHIP WITH THE CANDIDATE MOBILE EMAIL ID PARENT / GUARDIAN S PROFESSION PARENT / 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 NAM E 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 A self attested copy of the relevant pages of the passport containing details of the applicant. A Demand Draft of US $ 30 in favor of National Institute of Design, payable at Ahmedabad. Please write your name & address at the back side of the demand draft. Relevant B.Des./ M.Des. Hall Ticket (both copies) duly filled in with recent photographs. For B.Des. candidates: Attested copies of mark sheets of equivalent grades/ levels of SSC and HSC(under 10+2). Those who are studying presently in HSC, must submit bonafide certificate from school/ college. Attestation should be done by School/ College Principal/ Vice Principal. For M.Des. candidates: 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). An equivalence certificate must be obtained from Association of Indian Universities (AIU), New Delhi, prior to admission. Attestation should be done by School/College Principal/ Vice Principal. The application form should contain the address of your place of residence (your address of the country in which you are staying at the time of application). In the hall tickets, you are free to give any convenient address (India/Abroad). 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. Address slips duly filled on page 5. The medium of instruction in NID is English and all aspirants applying to NID must possess working knowledge of the English language. PLEASE SEND YOUR APPLICATION TO NID Admissions 2015-16 National Institute of Design Tel: +91-79-2662 3462 Page 2 of 5
Master of Design Programme (M.Des.) Office, NID on or before November 21, 2014. One copy of this hall COPY 1 OF 2 CALL LETTER FOR MASTER OF DESIGN PROGRAMME (M.Des.) 2015-16 ON S ATUR DAY, 10 TH JANUARY 2015. s are required to carry this hall ticket/ call letter with The ID is to be used as a reference for all admission W hile coming for Design Aptitude Test, candidates are required to bring this hall ticket, blue or black ball point pen, lead pencils s should report to the test centre at least 25 minutes before the commencement of the test. s are NOT allowed to leave the examination hall within the first one hour of the commencement of the test. s are NOT allowed to carry any electronic devices (mobile phones, palm-tops, calculators, i-pods, walkman, etc.) Page 3 of 5
Master of Design Programme (M.Des.) Office, NID on or before November 21, 2014. One copy of this hall COPY 2 OF 2 CALL LETTER FOR MASTER OF DESIGN PROGRAMME (M.Des.) 2015-16 ON S ATUR DAY, 10 TH JANUARY 2015. s are required to carry this hall ticket/ call letter with The ID is to be used as a reference for all admission W hile coming for Design Aptitude Test, candidates are required to bring this hall ticket, blue or black ball point pen, lead pencils s should report to the test centre at least 25 minutes before the commencement of the test. s are NOT allowed to leave the examination hall within the first one hour of the commencement of the test. s are NOT allowed to carry any electronic devices (mobile phones, palm-tops, calculators, i-pods, walkman, etc.) Page 4 of 5
Bachelor of Design Programme (B.Des.) Office, NID on or before November 21TIME:, 2014. One 10:00 copy am of this to hall 01:00 pm COPY 1 OF 2 CALL LETTER FOR BACHELOR OF DESIGN PROGRAMME (B.Des.) 2015-16 ON S UN DAY, 11 TH JANUARY 2015. s are required to carry this hall ticket/ call letter with The ID is to be used as a reference for all admission W hile coming for Design Aptitude Test, candidates are required to bring this hall ticket, blue or black ball point pen, lead pencils s should report to the test centre at least 25 minutes before the commencement of the test. s are NOT allowed to leave the examination hall within the first one hour of the commencement of the test. s are NOT allowed to carry any electronic devices (mobile phones, palm-tops, calculators, i-pods, walkman, etc.) Page 3 of 5
Bachelor of Design Programme (B.Des.) Office, NID on or before November 21, 2014. One copy of this hall COPY 2 OF 2 CALL LETTER FOR BACHELOR OF DESIGN PROGRAMME (B.Des.) 2015-16 ON S UN DAY, 11 TH JANUARY 2015. s are required to carry this hall ticket/ call letter with The ID is to be used as a reference for all admission W hile coming for Design Aptitude Test, candidates are required to bring this hall ticket, blue or black ball point pen, lead pencils s should report to the test centre at least 25 minutes before the commencement of the test. s are NOT allowed to leave the examination hall within the first one hour of the commencement of the test. s are NOT allowed to carry any electronic devices (mobile phones, palm-tops, calculators, i-pods, walkman, etc.) Page 4 of 5
PROGRAMME OF STUDY (Select only one) Master of Design Programme (M.Des.) Bachelor of Design Programme (B.Des.) DD AMOUNT PAYMENT DETAILS Application forms have to be submitted along with a non refundable payment of US $30/- by a Demand Draft of any nationalised bank drawn in favour of the National Institute of Design payable at Ahmedabad. DD NUMBER DATE OF ISSUE 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, NID on or before November 21, 2014 at the address mentioned below. Application forms received after the last date shall be summarily rejected. OF THE BANK PLACE OF ISSUE Page 5 of 5 PINCODE PINCODE E-MAIL E-MAIL PLEASE CUT ALONG THE DOTTED LINE, AND PASTE IT ON THE ENVELOPE, BEFORE SENDING BY AIRMAIL. APPLICATION FORM FOR OVERSEAS CANDIDATE PROGRAMME OF STUDY M.Des. (Select only one) B.Des. From ADDRESS To, NID Admissions 2015-16 NATIONAL INSTITUTE OF DESIGN PINCODE Tel: +91-79-2662 3462