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SWARRNIM INSTITUTE OF DESIGNS Architecture Event Management ADMISSIONS 2020-21 Diploma (Diploma) Secondary (10) From Recognized School / Board PLEASE PASTE YOUR RECENTPASSPORT SIZE COLOUR PHOTOGRAPH DO NOT STAPLE PERSONAL INFORMATION PARENT’S INFORMATION Have you appeared for Design Aptitude Test at Swarrnim earlier? No Yes times. Gender Female Male Page 1 of 3 Please mention the Year First Name Middle Name Surname Date of Birth Nationality D D M M Y Y Communication Address (For Admissions related Communication) VILLAGE/TOWN/CITY STA TE STD CODE - PHONE MOBILE ALTERNATE MOBILE ALTERNATE EMAIL ID PINCODE EMAIL ID Blood Group: TO BE FILLED BY THE OFFICE ONLY FORM NO: TO BE FILLED BY THE OFFICE ONLY Choice of Discipline UG Courses (4 years) PG Courses (2 years) Product Design Product Design Fashion Design Fashion Design Graphics Design Graphics Design Interior Design Urban Plan Interior Design MOTHER’S NAME FATHER’S NAME EDUCATIONAL QUALIFICATION PROFESSION PROFESSION ANNUAL INCOME (in Rs.) ANNUAL INCOME (in Rs.) Please use black ball-point pen only. Use capital letters only. Fill in one letter per box leaving a blank box between words. Eligibility Criteria (UG): Higher Secondary (10+2) from State board / CBSE/ CISCE / IB or Equivalent. (PG): Graduate (10+2+3/4) from Recognized University / Institute or Equivalent. Applying for Under Graduate (UG) Course Post Graduate (PG) Course EDUCATIONAL QUALIFICATION CANDIDATE ID CONTACT NO. CONTACT NO. Diploma (3 Years)

IOD 2019 12Dec - Swarrnim...entitled to any refund of the fee paid by me to the Institute. Y THE CANDID Bhoyan Rathod, Opposite IFFCO, Near ONGC WSS, Adalaj Kalol Highway, Gandhinagar,

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Page 1: IOD 2019 12Dec - Swarrnim...entitled to any refund of the fee paid by me to the Institute. Y THE CANDID Bhoyan Rathod, Opposite IFFCO, Near ONGC WSS, Adalaj Kalol Highway, Gandhinagar,

SWARRNIM INSTITUTE OF DESIGNS

Architecture

Event Management

ADMISSIONS 2020-21

Diploma (Diploma) Secondary (10) From Recognized School / Board

PLEASE PASTE YOURRECENT PASSPORT SIZECOLOUR PHOTOGRAPH

DO NOT STAPLE

PERSONAL INFORMATION

PARENT’S INFORMATION

Have you appeared for Design Aptitude

Test at Swarrnim earlier?

No

Yes times.

Gender Female Male

Page 1 of 3

Please mention the Year

First Name

Middle Name

Surname

Date of Birth NationalityD D M M Y Y

Communication Address (For Admissions related Communication)

VILLAGE/TOWN/CITY

STA TE

STD CODE - PHONE

MOBILE

ALTERNATE MOBILE

ALTERNATE EMAIL ID

PINCODE

EMAIL ID

Blood Group:

TO BE FILLED BY THE OFFICE ONLYFORM NO: TO BE FILLED BY THE OFFICE ONLY

Choice of Discipline

UG Courses (4 years)

PG Courses (2 years)

Product Design

Product Design

Fashion Design

Fashion Design

Graphics Design

Graphics Design

Interior Design

Urban Plan

Interior Design

MOTHER’S NAMEFATHER’S NAME

EDUCATIONAL QUALIFICATION

PROFESSION PROFESSION

ANNUAL INCOME (in Rs.) ANNUAL INCOME (in Rs.)

Please use black ball-point pen only.

Use capital letters only.

Fill in one letter per box leaving a blank box between words.

Eligibility Criteria

(UG): Higher Secondary (10+2) from State board / CBSE/ CISCE / IB or Equivalent.

(PG): Graduate (10+2+3/4) from Recognized University / Institute or Equivalent.

Applying for

Under Graduate (UG) Course

Post Graduate (PG) Course

EDUCATIONAL QUALIFICATION

CANDIDATE ID

CONTACT NO. CONTACT NO.

Diploma (3 Years)

Page 2: IOD 2019 12Dec - Swarrnim...entitled to any refund of the fee paid by me to the Institute. Y THE CANDID Bhoyan Rathod, Opposite IFFCO, Near ONGC WSS, Adalaj Kalol Highway, Gandhinagar,

Page 2 of 3

LIST OF ACHIEVEMENTS (SCHOLARSHIPS, AWARDS, PUBLICA TIONS & OTHERS)

LIST OF EXTRA CURRICULAR & COMMUNITY ACTIVITIES

PERSONAL ACCOLADES

PREVIOUS DESIGN EXPOSURE (IF ANY)

EDUCATIONAL RECORD

(Start from the recent course to Std. )

EXAM BOARD /DEGREE / DIPLOMA

SUBJECTSYEAR OFPASSING

AGGREGATEMARKS

DURATION OFPROGRAMME

SCHOOL / COLLEGE / UNIV./ INSTITUTION

*Kindly attach the self attested copy of your marksheets as applicable.

WORK EXPERIENCE (IF ANY)

(Start from present)

YEAR (FROM-TO) NAME OF ORGANIZATION DESIGNATIONWORK

EXPERIENCEIN MONTHS

EXPLAIN YOUR ROLE & RESPONSIBILITIES

HOW WOULD YOU SUBMIT YOUR DIGITAL PORTFOLIO

Undergraduate PortfolioŸ Email your portfolio in PDF format in less than 6MB on the email ID provided below

Ÿ 10 slides in PDF format (Illustrations / Photography / Digital Media)

Ÿ Any best creatives related to the Design

Postgraduate PortfolioŸ Email your portfolio in PDF format in less than 6MB on the email ID provided below

Ÿ 15 slides in PDF format (Illustrations / Photography / Digital Media)

Ÿ Any best creatives or related work experience / Illustrations to indicate your inclination to wards design

If you change your course preference, you will be required to submit a new Portfolio.

Your Portfolio should be not more than 6MB. If it exceeds 6MB, please use We-transfer or SlideRoom.

Mail your portfolio on [email protected]

Last date of form submission is 5th April, 2020

Page 3: IOD 2019 12Dec - Swarrnim...entitled to any refund of the fee paid by me to the Institute. Y THE CANDID Bhoyan Rathod, Opposite IFFCO, Near ONGC WSS, Adalaj Kalol Highway, Gandhinagar,

Page 3 of 3

TO BE FILLED IN B

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/program 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.

Y THE CANDID

Bhoyan Rathod, Opposite IFFCO, Near ONGC WSS, Adalaj Kalol Highway, Gandhinagar, Gujarat - 382420 | Call: +91 95123 43333 | +91 99244 52489

ATE

NAME

ADDRESS (FOR ADMISSION RELATED COMMUNICATION)

CITY

STATE

NAME

ADDRESS (FOR ADMISSSION RELATED COMMUNICATION)

CITY

STATE

PINCODEPINCODE

COUNTRYCOUNTRY

TO BE FILLED IN BY THE CANDIDATE TO BE FILLED IN BY THE CANDIDATE

Campus:

NAME OF THE CANDIDATE SIGNATURE OF THE CANDIDATE DATE

D D M M Y Y

Please ensure that you have completely filled the application form in all respects.

*Please retain a photo copy of the application form before submitting it.

Swarrnim Institute of Designs

Swarrnim Startup & Innovation University

Bhoyan Rathod, Opposite IFFCO, Near ONGC WSS,

Adalaj Kalol Highway, Gandhinagar, Gujarat - 382420

Call: +91 95123 43333 | +91 99244 52489

PLEASE SEND YOUR APPLICATION TO

Application forms have to be submitted along with a non-refundable payment of Rs. 1500/- by a Demand Draft or Cheque of any

nationalised bank drawn in favour of the ‘School of Design’ payable at Ahmedabad

PAYMENT DETAILS

DD / CHEQUE NUMBER

NAME OF THE BANK PLACE OF ISSUE

DD / CHEQUE AMOUNT

DATE OF ISSSUE

BENEFICIARY NAME SCHOOL OF DESIGN

ADMISSIONS 2020-21