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XAVIER INSTITUTE OF SOCIAL SERVICE

Dr. Camil Bulcke Path (Purulia Road) Ranchi, 834001,

Jharkhand, India

Application Form for FELLOW PROGRAMME IN MANAGEMENT – 2024

For technical queries or support, please feel free to contact us at : 6209009007

1. Fellow Programme applying for (tick the appropriate)*
profile image

*Photograph Size Max : 200 KB

2. Personal Information:
Permanent Address:
Post Office:*
Police Station:*
PIN No.:*
Address for Communication:
Post Office:*
Police Station:*
PIN No.:*
3. Educational Qualifications:*

(Give particulars of class X, XII, UG, PG, M.Phil., M. Tech, M.D, M.E, M. Pharm or equivalent examinations (if any) examinations passed commencing from most recent.)

Name of Examination * Name of Institute/Board/ University * Major Discipline * Year of Passing * Total Marks Obtained * Full Marks * % of Marks/ Grade Point *
4. Any other qualification, if any (Certificate, Diploma etc. Attach relevant proof) :
5. (A) CAT/XAT/UGC NET/ CSIR NET / SET / SLET /GATE (if any):
Type of Test Month & Year Subject Certificate Number Score/Marks

Kindly attach a copy of the certificate (pdf only)

(B) DST INSPIRE Fellowship/Teacher fellowship/ Any other fellowship Details (if any):

Kindly attach a copy of the certificate (pdf only)

6. Work Experience:

(Give particulars of employment/s commencing from most recent.)

Name of Organization Date of Joining Date of Leaving Designation/Profile Role and Responsibility

Kindly attach the ‘No Objection Certificate from the current employer (pdf only)*

7. Research Experience:

(Indicate details of any research conducted. Also, indicate whether it was individual work or any teamwork.)
8. Publication:

(Please specify any refereed publications that may have been written as a result of any independent research (Specify if you are the author or co-author.). Please add extra sheet if required)

Title of Paper Name of Journal (specify National / International) Year of Publication Author/Co-author Peer reviewed (Yes/ No)

Kindly attach the documents related to the publication (pdf only).

9. Other publications such as books (edited/authored/co-authored), chapters in edited volumes, reports. etc.:
Book/ Report Name of Publisher Country of publisher Year Edited/Author/Co- author

Kindly attach the documents related to the publication (pdf only).

10. Research paper in any National/International Conference (Give details.):
Name of Conference (specify National/International) Year Place Title of Research Paper Presented Single / Co –authored

Kindly attach the documents related to the conference (pdf only).

11. Whether a member of any professional body (Give details.):
12. Any other information:
13. Payment of Application Fee (Copy of Transaction Acknowledgement to be attached.):
D E C L A R A T I O N

The information provided above is correct to the best of my knowledge and belief. I understand that in case any of the above information is found to be incorrect at any subsequent time, my candidature for admission or continuing in this course is liable to be cancelled. I further undertake to abide by the rules and regulations of the FPM Programme of Xavier Institute of Social Service, Ranchi that are in force from time to time. I also declare that I have read and understood the General Instructions.

Date:*
Place:*
Signature of Candidate in Full

*Signature Max Size : 100 KB


GENERAL INSTRUCTIONS:
  1. Candidates are advised to read carefully the XISS FPM Admission details available on the Institute website before filling out the application form and sending it to the Institute.
  2. Fill out the complete form, upload a recent coloured passport-size photo (max 200 kb), and signature (max 100 kb) in the form.
  3. Complete the payment through the online link given on the website and save the transaction slip. Fill the transaction number, amount paid and the date of payment in the application form.
  4. Check the filled form thoroughly as no editing will be allowed after submitting the form.
  5. After completion, click on the submit button and save the pdf for future use.
  6. Mail the saved pdf of the application form to the mail id fpm@xiss.ac.in within the last date. The subject of the email should essentially be NAME_FPM 2024.
  7. Candidates having research experience and publications are advised to upload copies of research papers and publications as a single pdf in the application forms.
  8. Any subsequent amendment/modification etc. on this matter will be notified on the Institute website only which may be referred to by the interested candidates continuously.
  9. Candidature of the application shall be subject to verification of testimonials at any subsequent stage.
  10. Candidates may ensure that they fill in the correct information; Candidates who furnish incorrect information are liable to be disqualified at any stage of the admission process.
  11. Application form (a) received after the last date or (b) incomplete in any respect or (c) any fresh enclosure received after the last date shall not be considered.
  12. The Institute may cancel an application at any time in case the eligibility criteria are not met.
  13. The Institute may or may not fill the advertised vacancies.
  14. Applications received without the prescribed fee shall not be considered. No representation against such rejection will be entertained.
  15. Application Fee once paid shall not be refunded under any circumstance nor will it be adjusted against any other examination or selection.