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Please ax a
passport-size colour
photograph here, and
attach 3 additionalphotographs to the
application orm
bl vkosnu i= ds t+fj, gh p;u lfefr Ikj vkidk igyk izHkko iM+sxkA
blfy, i;k bls lkQ&lkQ HkjsaA Vafdr gks rks vPNk gSA laf{kIr
tkudkjh nas]c
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BKNOWLEDGE OF LANGUAGES Hkk"kkvksa dk KkuCan speak uently Can
read uently Can write uently
Ckksy ldrs gSa i
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Stage Crat eap f'kYiMention any 4 major productions in which the
applicant was actively involved in stage design, set construction,
lighting,costume design, make-up, stage management, etc.
fdUgha 4 izeq[k izLrqfr;ksa esa vH;FkhZ }kjk fd;s x, eap
ifjdYiuk] eap&fuekZ.k] izdk'k] os'k&Hkw"kk vfHkdYiuk]
:i&lTtk] eap izca/kubR;kfn dk;ksZa dk mYys[k djsaAName o play
Author/Playwright Nature o work Year
UkkVd dk uke ys[kd@ukVddkj dk;Z dk izdkj o"kZ
________________________ _____________________
_______________________________ ________________
________________________ _____________________
_______________________________ ________________
________________________ _____________________
_______________________________ ________________
________________________ _____________________
_______________________________ ________________
WRIING SKILLS ys[ku dk;Z
Plays ukVdName o play Language Full-length/One-act Staged/Not
staged
UkkVd dk uke Hkk"kk UkkVd/,dkadh
iznf'kZr/viznf'kZr________________________ _____________________
_______________________________ ________________
________________________ _____________________
_______________________________ ________________
________________________ _____________________
_______________________________ ________________
________________________ _____________________
_______________________________ ________________
________________________ _____________________
_______________________________ ________________
(Attach separate sheet i needed. vko';d gksus ij fooj.k vyx
dkxt+ ij layXu djasA)
Poetry dfork Stories dgkfu;k NovelsmiU;kl
_________________________________
_________________________________
__________________________________
_________________________________
_________________________________
__________________________________
_________________________________
_________________________________
__________________________________
OHER QUALIFICAIONS vU; ;ksX;rk,
Any previous training in theatre? I yes, its
nature_____________________________________________________________________
jaxeap esa dksbZ iwoZ izf'k{k.k\ ;fn gS] rks fdl izdkj dk gS\Any
previous training in dance, music (vocal/instrumental), visual art
?__________________________________________________
UkR;] laxhr xk;u/oknu ,oa n';dyk esa dksbZ iwoZ izf'k{k.k \Any
other
qualications_________________________________________________________________________________________
dksbZ vU; ;ksX;rk,Wa
ORGANISAIONS ASSOCIAED WIHlaLFkku ftlls lac) gSa
Name o the organisation Proessional/Amateur Since when In what
capacity
laLFkk dk uke O;kolkf;d/'kkSfd;k dc ls fdl :Ik esa lac)
gSa________________________ _____________________ ______________
_________________________________
________________________ _____________________ ______________
_________________________________
________________________ _____________________ ______________
_________________________________
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CPROFESSIONAL BACKGROUND O;kolkf;d Ik"BHkwfe
Present occupation________________________________________
Annual income________________________________________
orZeku O;olk; okf"kZd vk;Experience o other jobs, i
any____________________________________________________________________________________
vU; dk;ksZa dk vuqHko] ;fn gSWhether recipient o any scholarship
while undergoing training,
etc.____________________________________________________
vxj izf'k{k.k bR;kfn ds nkSjku fdlh Hkh izdkj dh Nk=ofr izkIr dh
gS rks mYys[k djasI recipient o any scholarship, mention:
;fn Nk=o`fr izkIr dh gS rks crk,a%(i) Amount o monthly
scholarship_________________________________________________________________________________
d ekfld Nk=ofr dh jkf'k(ii) Scholarship received rom which
date__________________________________________________________________________
[k Nk=ofr dc ls izkIr dj jgs gSa(iii) Source o
scholarship________________________________________________________________________________________
x Nk=ofr dk lzksr
DPREVIOUS AEMPS fiNys iz;kl
Have you applied to this course previously? How many times?
(mention year/s)
iwoZ esa fdruh ckj vkosnu fd;k\ o"kZ dk mYys[k djsaPreliminary
interview__________________________________ Final
interview/Workshop___________________________________
IkzkjafHkd lk{kkRdkj vafre lk{kkRdkj/dk;Z'kkyk
E
SAE OF HEALHLokLF;
(i) Are you physically t to undertake theatre practice or long
hours?______________________________________________________
d jaxeap ij nsj rd dk;Z djus ds fy, D;k vki 'kkjhfjd :i ls LoLFk
gSa \(ii) Have you undergone any training in physical tness? I yes,
mention details._____________________________________________
[k D;k vkius 'kkjhfjd LoLFkrk gsrq dHkh dksbZ izf'k{k.k fy;k gS\
;fn gk] rks mYys[k djsaA(iii) Your height and
weight_____________________________________________________________________________________
x viuk otu vkSj pkbZ dk C;kSjk nsaA
FREFERENCES vkosnd ds tkudkj
At least 3 eminent persons in the theatre eld, not related to
the applicant but amiliar with his/her work, should be
mentioned,and certicates given by them should be attached with this
application.
jaxeap {ks= ds de&ls&de rhu izfl) O;fDr;ksa ds uke] tks
fd vkosnd ds laca/kh u gksa ysfdu muds dk;Z dh iw.kZ tkudkjh
j[krsgksa] nsaA muds }kjk fn;s x, izek.k i= Hkh layXu djasAName
Address Status
Ukke irk Lrj_________________________________
___________________________________________________
_________________
_________________________________
___________________________________________________
_________________
_________________________________
___________________________________________________
_________________
_________________________________
___________________________________________________
_________________
_________________________________
___________________________________________________
________________
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GENERALlkekU;Plans ater
training_____________________________________________________________________________________________
Ikzf'k{k.kksijkUr ;kstuk
Any other
inormation__________________________________________________________________________________________
dksbZ vU; lwpuk
I have read the rules o the National School o Drama and agree to
abide by them.
EkSaus jk"Vh; ukV~; fo|ky; esa izos'k ds fu;e i
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CHECK LIS tkp lwph
Note: Please tick-mark the square applicable to you and sign in
the appropriate space below:
uksV% tks Hkh vkids fy, vuqiz;ksT; gks] ml oxZ esa lgh dk fu'kku
yxk,Wa vkSj uhps mfpr LFkku ij gLrk{kj djsa %
Have you attached attested copies o certicates and degrees o
examination passed?
D;k vkius mRrh.kZ ijh{kkvksa ds izek.k&i=ksa vkSj fMfxz;ksa
dh lR;kfir izfr;kWa layXu dh gS\
Have you attached an attested copy o the certicate o High School
or Matric or equivalentexamination in support o your age?
D;k vkius viuh mez ds leFkZu esa gkbZLdwy ;k eSfVd ;k led{k
ijh{kk ds izek.k&i= dh lR;kfirizfr layXu dh gS\
Have you attached three additional passport-size colour
photographs?
D;k vkius ikliksVZ vkdkj ds vius fp= dh rhu vfrfjDr izfr;ka
layXu dh gSa\
Have you attached certicates rom three eminent persons in the
theatre eld testiying toyour experience in theatre?
D;k vkius jaxeap {ks= ds fdUgha rhu izfl} O;fDr;ksa ls
izkIr&i= layXu fd, gSatks jaxeap esa vkids vuqHko dks lR;kfir
djrs gksa\
Have you attached documentary proo o your theatre
experience?
D;k vkius vius jaxeap vuqHko dk fyf[kr izek.k layXu fd;k gS\
Have you enclosed a Demand Drat o Rs. 150/- in avour o
Director,National School o Drama, New Delhi?
D;k vkius bl izi= ds lkFk funs'kd] jk"Vh; ukV~; fo|ky;]ubZ fnYyh
ds uke ij ns; : 150 dk fMekaM Mk+V laYkXu fd;k gS\
Please send your application by speed post in an envelope, with
APPLICAION FOR ADMISSION2013-2016written in capital letters on top,
and duly addressed to Te Academic Cell, National School o Drama,
Bahawalpur House,Bhagwandas Road, New Delhi 110 001. Forms sent in
envelopes without writing this will not be entertained.
i;k viuk vkosnufyQkQs esa ij ^2013&2016 l= esa izos'k gsrq
vkosnu* fy[kdj 'kS{kf.kd izHkkx]Hkxoku nkl jksM] ubZ fnYyh 110 001
ds uke LihM iksLV }kjk HksatsA ;g fy[ks fcuk fyQkQs Lohdkj ughafd;s
tk;saxsA
In case o oreign nationals the applicant should apply through
the Indian Embassy in his/her country and the Director
General,Indian Council or Culture Relations, Azad Bhawan, New Delhi
110 002.
fons'kh vH;FkhZ vius ns'k ds Hkkjrh; nwrkokl vkSj egkfuns'kd]
Hkkjrh; lakLfrd ekeys ifj"kn~] vkt+kn Hkou] ubZ fnYyh 110 002ds
ek;e ls vkosnu djsaA
Signature o
Applicant__________________________________________________________________________________________
vkosnd ds gLrk{kj
Name o the
Applicant___________________________________________________________________________________________
vkosnd dk uke
Contact phone no:_____________________________________
E-mail:__________________________________________________
laidZ Qksu ua% b&esy
gk ugha
jk"Vh; ukV;~ fo|ky;]
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'kiFk i=vH;FkhZ bls Hkjdj vius gLrk{kj lfgr vkosnu i= ds lkFk
tek djsa
EkSa]_________________________________________________lqiq=/lqiq=h_____________________________________________
fuoklh____________________________________________________________________________________________________
'kiFk ysrk/ysrh gw fd jk"Vh; ukV~; fo|ky; ds fMIyksek ikB~;e esa
izos'k gksus ij esjk O;Okgkj iw.kZRk;k 'kksHkuh; jgsxk vkSj
fo'okl fnykrk/fnykrh gw fd eSa bl nkSjku fdlh Hkh rjg dh jSfxax
xfrfof/k esa fgLlk ugha ywaxk/ywaxhA ;fn vf/kdkjh eq>s bl
laca/k esa fo|ky; }kjk tkjh funsZ'kksa dk mYya?ku djrk gqvk ikrs
gaS] rks fo|ky; dks fu/kkZfjr dkuwuh dkjZokbZ djus dk vf/kdkj
gksxkA fo|ky; us eq>s ekuuh; loksZPp U;k;ky; ds v;kns'kW.P.
(C) laLFkk656/1998] fnukad4.5.2001 ds lacaf/kr va'k lsvoxr djk fn;k
gS] vkSj ;g 'kiFk i= mijksDr vkns'k ds rgr izLrqr fd;k tk jgk
gSA
Nk=/Nk=k dk uke o
gLrk{kj_________________________________________________________________________________
irk______________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
Undertaking Form(o be lled in by the applicant and submitted
along with the application, duly signed)
I,______________________________________________son/daughter
o_____________________________________________
resident
o________________________________________________________________________________________________________,
hereby undertake that in the event o my selection to the Diploma
course in the National School o Drama, I hereby vouch or my
good conduct and assure that I will not indulge in any kind o
ragging. In case the authorities fnd me violating the instructions
issued
by the School in this regard, apart rom the criminal legal
action which will be initiated as per law, the School authorities
will also be
at liberty to take appropriate action against me as provided in
the instructions. Te School has also made me understand the
relevant
portion o the order o the Supreme Court o India in W.P.(C) No.
656/1998 dated 04.05.2001 and this undertaking is being given
pursuant to the above order.
Name & Signature o
Student_________________________________________________________________________________
Address__________________________________________________________________________________________________
________________________________________________________________________________________________________
________________________________________________________________________________________________________
