DVET application form

APPLICATION FORM Form No.

PSS CENTRAL INSTITUTE OF VOCATIONAL EDUCATION
Shyamla Hills, Bhopal - 462013, (M.P.), India

Phone (EPBX): 91-755-2660691, 2660651, 2704100, 2660564 Fax: 0091- 2660481
Website: www.psscive.ac.in / Email: [email protected]

Application for Admission to the Photo
Diploma in Vocational Education and Training

Note: You can download this Application form from our website (www.psscive.ac.in). Please enclose a Demand Draft of
Rs. 500/- drawn in favour of Joint Director, PSSCIVE, Bhopal, payable at Bhopal towards fees for prospectus and form.

For the batch starting on ___________________________

PARTICULARS OF APPLICATION FEE FOR OFFICE USE ONLY
Bank Draft No. __________________________
Issuing Bank __________________________ Application Reg. No. __________________________
Date of Issue __________________________
Scholar Reg. No. __________________________

PLEASE FILL THE ENTRIES IN BLOCK LETTERS (IN ENGLISH ONLY)
Name (As in degree certi cate)

Father's Name:

Mother's Name:

Address:

Phone No. ___________________________________ Mobile No. ________________________________________
E-mail Address ____________________________________________________________________________________
Date of Birth _________|________|________________ Nationality ________________________________________

Gender ________D__D_______M__M_______Y_Y__Y_Y_________
Page | 01

Details of Qualifications: Subjects University/ Board and Percentage of Division/
Offered Year of Examination Marks/CGPA Grade
No. Name of
Examinations

1. Matriculation /
High School

2. Higher
Secondary /
Intermediate

3. Bachelor's
Degree
(write name
of degree)

4. Master's Degree
(write name
of degree)

5. Any other
(Qualification /
Examination
passed

Note: Attested/Certified Xerox copies certificates/mark-sheets of every year/Semester should be attached.
First Year

No. Papers Year of Max. Marks Class/ Results
Passing Marks Obtained Division/
Grade

Second Year

Page | 02

Professional Experience, if any (Please use additional sheets if necessary)

No. Organisation Designation Nature of Work Period of Service

Teaching/Industry/ From To
Administration

1
2
3
4

Proficiency in English Yes No

Can read well

Can speak well

Can write well

Examination passed _________________________________________________________________________________
__________________________________________________________________________________________________

DECLARATION OF THE CANDIDATE

I declare that the information given above is correct. If I am selected for the DVET programme, I promise to follow
any changes incorporated therein from time to time and the rules and regulations of the Institute.

Place: ___________________________________ Date: Signature ______________________________

(Name of Applicant) ________________________________________________________________________

Details of Posting in NCERT, New Delhi (Applicable only for internal candidates)

No. Name of Post Pay Scale Date of Whether post is Probation Date of Permanent
with Present joining on Probation/ completed
1. Basic the Post Contractual/ Contractual
2. Permanent Period
3.
4.

Page | 03

To befilled in by the Forwarding/Sponsoring Authority, in case, the candidate is being sponsored for admission.
(Strike out whichever is not applicable).

Mr./ Mrs./ Ms. ______________________________________________________________________________________
who is working in this organisation as _________________________________ in a Permanent / Temporary
capacity is hereby sponsored for Admission to Diploma in Vocational Education and Training (DVET). We will
ensure that his/her fees are paid regularly. During sponsorship period he/she will be paid salary or any other
amount of Rs. __________________________
(Rupees ____________________________________________________________________________________only)
by the Management towards fellowship/stipend/ scholarship (Strike out if not applicable by the Management.

Place: ______________________________ Date: ________________________________
Signature: __________________________ Designation: __________________________

(Seal)

Remarks by Programme Coordinator, PSSCIVE, Bhopal
Admitted/Admitted Provisionally/Not Admitted
___________________________________________________________________________________________________
___________________________________________________________________________________________________
___________________________________________________________________________________________________

Joint Director
PSSCIVE

INSTRUCTIONS TO APPLICANTS FOR FILLING THE APPLICATION FORM

1. Application forms should be filled legibly
2. Full name of the candidate should be written. The name of the Applicant must correspond to the name

mentioned in the University/Board Certificates.
3. Application form should be accompanied by the following in the same order:

A Crossed Demand Draft from any Bank for Rs. 10,000/- (Rupees Ten Thousand only) by Indian
candidates and equivalent of this amount in US$ 600 in case of foreign candidates, endorsed in
favour of Joint Director, PSSCIVE, Bhopal, payable at Bhopal. The application fee is not refundable in
any case.

B Qualifying Diploma or Bachelor’s degree/grade card/marksheet showing the marks/ division/ CGPA.
C Experience certificate
4. Applicants seeking for sponsorship can submit their advance copy of the application form.

Page | 04