Professional Documents
Culture Documents
Application Form
Application Form
Application Form
FORM
No. PAC/
ACADEMIC RECORDS
(Do not enclose any Certificates)
Examination
Level
Qualification
Major
Subjects
Medium of
Instruction
Board/
University
Marks (%)/
Grade
Year of
Passing
Senior
Secondary
School (10+2)
Graduation
Others
Programs
Applied
For
B.Sc. (MM)
M.Sc. (MM)
STAR-AFM
Other Programs
PERSONAL DETAILS
Name : Mr./Ms .................................................................................................................................................................................................................................
Date of Birth (Specify Date/Month/Year) ..........................................................................................................................................................................
Correspondence Address : ........................................................................................................................................................................................................
................................................................................................................................................................................................................................................................
City....................................................................................... State .................................................................................. Pin-code .........................................
Phone (STD code No.)................................................................................................................................................. Mobile ...............................................
E-mail ..................................................................................................................................................................................................................................................
Permanent Address : ...................................................................................................................................................................................................................
................................................................................................................................................................................................................................................................
City ....................................................................................... State ............................................................................... Pin-code ...........................................
Phone (STD code No.) ..................................................................................................... Mobile .........................................................................................
Fathers/ Guardians Name .......................................................................................................................................................................................................
Profession of Guardian ................................................................................. Annual Household Income ..................................................................
DECLARATION
I hereby declare that I satisfy the eligibility requirements of the Programme as stated in
the Prospectus of the Picasso Animation College and have furnished correct information.
I also declare that I have read all the rules and regulations governing admission and fee
payable and agree to abide by the same, if selected. I also understand that the decision of
the Admission Committee regarding my selection will be final and binding on me.
I have enclosed DD No.
............................................................................................................................................................................................
Dated ................................................................... for Rs. .......................................................................................
on Bank ........................................................................................................................................................................
Signature of Applicant