Tick the relevant course

1 Year Diploma course in Journalism affix

3 Month Certificate Course in Journalism photo
here
3 month Certificate Course in Creative Writing

Personal Identification

a). Full name :

b). Date of birth : Sex (M/F) :

c). Contact No : Email id:

d). Father’s Name :

Tel/Mobile No. : Email id:

e). Mother’s Name :

Tel/Mobile No. : Email id:

f) Current mailing address of candidate:

Pin Code :
g). Permanent address:

Pin Code :
g). Do you suffer from any health impairment or disability? Yes/No
If yes, please give details

h). Educational Qualifications

Exam / Degree Month / Year Percentage Main Subjects Affiliation/
Board

i). Other academic Qualifications (Give details)

j). Name and address of person to be contacted in case of emergency:

k). Professional Experience Yes / No

Please provide details

l). Extra-curricular Interests/Achievements/Positions of responsibility held

Statement
I certify that the information provided in this application is complete and accurate to the best
of my knowledge.

Place

Date (Signature)
Very Important
All those applying for the Diploma in Journalism also need to submit the following, along with
the completed application:
In 500 words, printed on a foolscap-size unlined paper, state briefly your objective in pursuing
post-graduate education in Journalism at the Tehelka School of Journalism.

Note
1. Attach only self-attested photocopies of your Class X, XII and degree
mark sheets with the form (unless specified otherwise).
2. Affix two passport size photographs to this application form.
3. The school reserves the right to change/alter rules and regulations
pertaining to admission, syllabus, and fees etc. as it may deem fit.
4. Right of admission to the school is reserved. The decision of the
Dean on recommendation of the admission committee in the case
of any dispute shall be final and binding. All disputes are subject to
jurisdiction at Delhi.
5. Admission will be confirmed only on full payment of the first
installment of fees by the due date, failing which the selection will stand
cancelled automatically, without any further correspondence.
6. In case of withdrawal by any student for any reason before the date of
commencement of the course, the administrative rules of the school for
refund of fees will apply. No refund will be allowed on withdrawal after
commencement of the course. (Rules can be seen with the admin. officer
on all working days.)
7. A non-refundable fee of Rs 950 needs to be submitted along with this
application form.

Payment Options
a. If you are applying online, please click here for payment gateway
b. If you are sending your application by post, please have a Demand Draft of Rs 950, drawn in
favour of Anant Media Private Limited and post the completed application form and DD to

The Dean
Source
The Tehelka School of Journalism
M-76GK II,New Delhi 48

c. If you are depositing the form in person, you can submit a DD of Rs 950 drawn in favour of
Anant Media Private Limited OR pay cash along with the completed application form at M-76,
GK II, New Delhi 48.