Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology Srishti School of Art Design and Technology
Application for
Advanced Diploma Program in
Animation & Visual Effects 2010-11
Please type or print in black ink. Mail the completed application forms with the completed reference form to the Srishti Admissions Office
PERSONAL INFORMATION
Name
Date of Birth
Place of Birth
Permanent Home Address
Preferred Mailing Address (If different from above)
Father’s Name
Office Address
Local Guardian’s Name
Address
Citizenship
Indian
Other (Please Specify)
Tel No.
Mobile
Occupation
Tel No.
Mother’s Name
Office Address
Occupation
Occupation
Tel No.
Mobile
Tel No.
Mobile
first
DD MM YYYY
middle last
Office use only
APP. DATE
APP. NUMBER
PASTE A RECENT COLOUR PHOTOGRAPH HERE
Srishti School of Art, Design and Technology
P O Box No. 6430, Opp. Wheel and Axle Plant, Off Doddaballapur Road, Yelahanka New Town, Bangalore 560106, Karnataka
Tel: 080 40447000 / 40446964 / 65 / 66 Telefax: 28560950 Email: admissions@srishti.ac.in Website: srishti.ac.in
EDUCATIONAL DATA
List of Secondary Schools / Colleges / Courses you have attended. Please start with most recent first
Date
Institution and Location
Marks/Grade (%)
in Exam Passed
Board of Exam
State/ ISC/ CBSE/IB/ ‘A’ Level/ Others
Details of proficiency in Animation Software / Other Software
Name of Software
Which specific skill do you consider yourself good at
eg. 3D Modelling, Lighting, Texturing, etc.
Describe your most recent project
where you used the software
TALENTS & SKILLS
Drawing
Painting
Music
Acting
Writing
Dancing
Public Speaking
Other (please specify)
Mark yourself on a scale of 1 to 10
(1= poor - 10=outstanding)
Details of Employment (if any). Please start with most recent first
Date (From-To)
Name of Organisation & Address
Job Description & Position
Salary / Income
Extracurricular, Personal and Volunteer Activities
LEARNING OBJECTIVES:
Explain in 250 or more words your key motivation for applying
(Use additional sheets if necessary)
YOUR SUITABILITY:
List any skills, experiences, ideas or any other assets that you believe make you an ideal candidate
ACADEMIC HONOURS
Briefly list or describe any scholastic distinctions or honours you have won beginning from ninth grade (Std. IX)
EXPERIENCE / SKILLSETS POSSESSED (IN ONE OR MORE)
Computing / Programming
3D Modelling
Digital Video & Sound
Architecture
Conceptual / Installation Arts
Product Design
Music
Biology
Electronics
SIGNATURE
I certify that all the information in my application is factually true, and honestly presented.
Signature
Date
Please note that material submitted will not be returned under any circumstances.
APPLICATION FEE
DOCUMENTS AND OTHER REQUIREMENTS
Please submit the following with this form:
DD enclosed
1. A Demand Draft favouring "Srishti" for Rs.2500/- (non-refundable processing fee),
payable at Bangalore, with your name clearly written on the reverse.
2. Open reference forms fully completed and signed by the referee (two references required).
3. Copies of your most recent mark sheets / transcripts.
4. Two recent colour passport size photos.
5. Attach a portfolio of creative work you have been involved with in the form of a CD/DVD-ROM.
I HEARD ABOUT SRISHTI FROM
Other
(specify)Friends or Relatives
Print Ad
(specify publication)
School Counsellor
Internet Search
(specify search engine)
