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SYMBIOSIS

Centre For Distance Learning (SCDL)

Symbiosis Bhavan, 1065 b, Gokhale Cross Road, Model Colony, Pune - 411016, Maharashtra, India.
Tel. 020 66211000-20 I Fax: 020 66211040 I 41/41 | Web: www.scdl.net
Please read the instructions on website before filling the Application Form 2015

Application No.

80624

Paste one recent


passport size colour
photo & attach
another photo
at the top right corner

To,
The Director,
I request for grant of admission to the below mentioned program being offered by your institute for
the academic year starting from July 2015.

80624

Are you an active student of scdl? if yes write your registration no.
A Personal Details

in block letters)

(Name of the applicant should be as per degree

certificate attached. in case of name change, attach the required document.)

Last Name:

BHATNAGAR

Middle Name:
Date of Birth:

dd

B Postal Address

06 mm 02 yyyy

First Name:

AKASH

Gender:

Male

1976
Please use spaces and / or commas wherever applicable.

(IN BLOCK LETTERS)

Communication Address: (Students should take utmost care in writing complete address so as to receive all commmunication,
Study Kit, ID Card etc on this address without any delay. Re-dispatch due to incorrect address will be charged to the student.)

Address:

A-7

MUKTA PRASAD NAGAR, BIKANER

80624

Taluka:

District:

City:

BIKANER

Country:

INDIA

Mobile No.:
E-Mail ID:

State:

BIKANER

RAJASTHAN

Pin Code:
Tel No.:

8107856666

334004

8107856666

aakashbhatnagar@gmail.com

CONTACT NO. AND EMAIL ID IS COMPULSORY. Ensure your contact no. and email ID is correctly mentioned. SCDL sends many important
information from time to time. Any change in communication address/contact no./email ID must be immediately communicated to SCDL.

80624

Permanent Address:
Address:
A-7

MUKTA PRASAD NAGAR, BIKANER

Taluka:
City:

BIKANER

Country:

INDIA

Mobile No:

District:

BIKANER

State:

RAJASTHAN

Pin Code:
Tel No.:

8107856666

334004

8107856666

E-Mail ID:

FOR
SCDL
USE
ONLY

Reason for admission being provisional / rejected


Admission Status
Confirmed

Application No:

80624

Provisional

Form Status
A

Date of Registration
DD
MM 2015

Page:

1 Of 4

Registration Number
2 0 1 5

Generated On:

5/1/2015

C Student Category
D Programs / Courses

Civil

POST GRADUATE DIPLOMA IN HUMAN RESOURCE MANAGEMENT

80624

I. Faculty of Management
Post Graduate Diploma in Business Administration (PGDBA) (Two Years)

Specializations (only one specialization)


Student has to select 1 elective under iii and iv semester for the selected specialization, for PGDBA. in case if 2 or more specialization or
electives are selected, the first in the list shall be considered. if neither specialization nor elective is selected then the first in the list will be
processed as a default specialization and elective.

Marketing
Sem. III Electives (select any one course)
Sem IV Electives (select any one course)
- Advertising & Public Relations
- Interntional Marketing
- Consumer Behavior
- B2B Marketing
- Industrial Marketing
- Virtual Marketing
n Finance
Sem. III Electives (select any one course)
Sem IV Electives (select any one course)
- Project Finance
- Strategic Finance
- Security Analysics & Portfolio Management
- International Finance
- Financial Institutions & Banking
- Indirect Taxation
n Management Accounting
Sem. III Electives (select any one course)
Sem IV Electives (select any one course)
- Strategic Management
- Corporate Governance
- Strategic Management Accounting
- International Finance
- Strategic Finance
- Capital Market
n Operations
Sem. III Electives (select any one course)
Sem IV Electives (select any one course)
- Techinques for Operations Efficiency
- Technology Management
- Operations Strategy
- World Class Manufacturing
- Project Management (Operations)
- Business Process Re-Engineering
n Human Resource
Sem. III Electives (select any one course)
Sem IV Electives (select any one course)
- Compensation Management
- Strategic HR & TQM
- Personnel Administration
- Organisational Development
- Industrial and Labour Economics
- Human Resource Information System
n Customer Relationship Management
Sem. III Electives (select any one course)
Sem IV Electives (select any one course)
- B2B Markets & CRM
- Technology in CRM
- Business Communication
- CRM in Service Industry
- Consumer Protection Act, 1986
- Marketing Research
n Two-Year Post Graduate Diploma Programs:
- Post Graduate Diploma in International Business (PGDIB)
- Post Graduate Diploma in Banking & Finance (PGDBF)
n One-Year Programs:
- Post Graduate Diploma in Insurance Management (PGDIM)
- a) General Insurance b) Life Insurance (tick only one specialisation)
- Post Graduate Diploma in Human Resource Management (PGDHRM)
- Post Graduate Diploma in Retail Management (PGDRM)
- Post Graduate Diploma in Customer Relationship Management (PGDCRM)
- Post Graduate Diploma in Supply Chain Management (PGDSCM)
- Post Graduate Diploma in Export & Import Management (PGDEXIM)
n Six Month Certificate Programs:
- Certificate Program in Entreprenueurship Development (CPED)
- Certificate Program in Management Accounting (CPMA)
n

80624
80624

Application No:

80624

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II. Faculty of Information Technology


n One Year Program:
- Post Graduate Diploma in Technical Writing (PGDTW)
III. Faculty of Education, Humanities & Social Sciences
n One Year Programs:
- Post Graduate Diploma in Instructional Design (PGDID)
- Post Graduate Diploma in Pre-Primary Techer's Training (PGDPTT)
- Diploma in Creative Wrting in English (DCWE)
- Diploma in of English Language Teaching (DELT)

80624

IV. Faculty of Law


n One Year Program:
- Post Graduate Diploma in Businesss and Coporate Laws (PGDBCL)
n Six Month Certificate Program:
- Certificate Program in Cyber Laws (CPCL)
V. Single Course (Subject)
Students may enroll for one or more courses / subjects (upto a maximum of 4) offered by SCDL. Students are required to fill separate
admission form (and go through all the procedures for admission separately) for each course they wish to enroll for.

Please refer to the prospectus for admission of single course / subject and policies regarding the same.

80624

E Other Information
I received information about scdl program from :
Online

F Work Experience Details


(To be filled by Defence / Para/ Police Personnel Only)

(To be filled by Working Personnel Only)

Service Number:

Name & Addess of Organization:

Rank / Cadre:

Skynet Infotech

Date of Commissioning / Enrollment:

Address:

80624
A-7, MP Nagar

Arms / Service:
Likely Date of Retirement:

(Personnel from Armed Forces / Paramilitary / Police


are required to attach a letter of active service on
official letterhead, duly signed by the competent
authority.)

Current Designation:

Partner

Company Tel. No.:

8104490600

E-mail:

infotech.skynet@yahoo.com

G Academic Details (Degree / Diploma)


Examination /
Degree / Diploma
B.Com

School/College
University
C.Charan Singh

Specialization

Year of Passing
1997

Class / Grade

% Marks

Medium of Instruction
of School/ College

Second

48

English

Note: 1. Details of Diploma must be provided in above (Only for CPED,CPMA,CPCL Program)
2. Details of 12th STD must be provided in above section (Only for DCWE and DELT Program)

Application No:

80624

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H Registration Fee (Non Refundable)


Program /Category

Civil / Defence

Post Graduate & Diploma Programs


Certificate Programs

SAARC

Rs. 1000/-

USD 100, Rs. 6500/-

USD 75, Rs. 4875/-

Rs. 1000/-

USD 35, Rs. 2275/-

USD 25, Rs. 1625/-

80624

Registration and Program fee can be paid in, cash at SCDL Pune campus or, in Demand Draft, in favour of
"The Director,SCDL Pune" & payable at Pune or, Online.

Mode of Payment:

Cash (Walk-in)
DD Details:

International

Transaction Date:

Online Transaction Details:

DD No:

DD Date:

DD Amt:

Bank:

Check List
Application form completely filled and signed.
Two passport size color photographs.
Clear photocopy of any one photo identity (e.g.:Passport, Pan/Adhar/Election Card,Driving Licence)
Photocopy of the Graduation Certificate/Provisional or Passing Certificate, duly attested by a Gazette Officer or notarised, as per the
applicable eligibility for the desired program
Service certificate (applicable to Diploma holders and Active Defence Personnel only).
Name change document (if applicable).
Photocopy of Std xii mark sheet attested by a gazetted officer or Notary. Applicable for DCWE and DELT diploma programs only.)
Single Demand Draft for Non-Refundable Registration Fee(giving candidate's name/details on the reverse side). The Demand Draft
should be in favour of : The Director SCDL, Pune payable at Pune. In case of online pament, online successful payment status report
should be attached.

80624

For International/SAARC category student, photocopy of passport page with valid visa of the foreign country.
Applicable only for PGDBA pogram in addition to the above mentioned:

Copy of valid score card of the State Level MBA/MMS-CET/G-MAT/CAT/MAT/ATMA/XAT/C-MAT or equivalent entrance test at State
or National level, valid for Academic year 2015-2016 duly self-attested.
Appearing for the SCDL-PGDBA Entrance Test 2015-16.

Certificate of Undertaking :
declare to agree to abide by all the rules and policies of the institue & understand that :

AKASH

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I am enrolling for AY 2015 July Session and I have read the Prospectus 2015 fee policies, eligibility criteria and all other information/s carefully.
For PGDBA program, only if, duly self-attested, copy of valid score card of the State Level MBA/MMS-CET/G-MAT/CAT/MAT/ATMA/XAT/C-MAT or
equivalent entrance test at State or National level, valid for Academic year 2015-2016 is submitted, SCDL-PGDBA Entrance Test 2015-16 is exempted.
The program validity of my enrolled program registration will remain same as mentioned in the ID card and understand that the information / policies and
details given herein, the website, prospectus and any other communication of SCDL is subject to change from time to tiime.
The information provided by me in this application form is true and correct to the best of my knowledge. And fully aware that in case any
information provided is found false or erroneous, it will result in cancellation of my registration / admission.
I have read the prospectus carefully and understand the rules especially :- 1. Provisional Admission 2. Payment of program fees, exam fees & mode of
payment 3. Cancllation of admission 4.Late Fees 5. Rules of Refund of program fee 6. Rules related to forfeiture of unidentified fees, excess fees other
unclaimed fees 7. Rules regarding evaluation, additional attempts, award of Diploma and registraion validity. 8. Jurisdiction
SCDL shall be conducting the virtual classes and online faculty chat as per the schedule decided by SCDL. I have also understood that the examination
system and assignments at SCDL are Computer Based and i have to appear for exams at nearest designated SCDL Exam Centre.
SCDL has provided Student Grievance Redressal Forum, a body independent of SCDL headed by legal luminary to enable the students to get
their grievances, if any, redressed. I undertake that I will approach the said Student Grievance Redressal Forum to get my grievance, if any,
redressed before taking any legal recourse.
The Institute reserves the right to amend the rules and regulation, whenever and wherever considered necessary and appropriate related to course
content, passing requirements, eligibility criteria for examinations, fee structure, refund policy, admission cancellation policies and rules, curriculum
and course content, examination pattern, policies and timelines, certification and designation, assignment pattern, examination and contact program
centers and such other matters, as may be considered relevant.
I have to immediately inform SCDL it ehre is any change in communication details.
I absolve Symbiosis Centre for Distance Learning (SCDL) from any responsibility arising out of false information/errors/mistakes/delay in adhering
the prescribed time-lines on my part.
I have read the refund policy of the institute, mentioned in the prospectus, and I will not claim for any refund of fees paid, after 30 days frm the date of my
admission for the enrolled program at SCDL.

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BHATNAGAR

80624

Date:

Place:
(Signature of Applicant)

(Note: Application form without signature & having any other deficiencies will not be processed & registration fees will not be refunded)

Application No:

80624

Page:

4 Of 4

Generated On:

5/1/2015