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CONSULTANCY DEVELOPMENT CENTRE

C Ce er rt ti if fi ic ca at te e P Pr ro og gr ra am mm me e i in n T Te ec ch hn ni ic ca al l C Co on ns su ul lt ti in ng g
(October - December 2014)

1. Name in full : Mr. / Ms. _________________________________________
(in Capital Letters)

2. Fathers Name : S/o / D/o _________________________________________
(in Capital Letters)

3. Address : ________________________________________________

________________________________________________

City/Zip Code : ________________ State/Country___________________

Phone (Res.) : ________________ (Off.) _________________________

Mob : _____ ____________ Fax _________________________

Email : _______________________________
(Please write the email id clearly)



3. Academic Record (starting with first degree/diploma):

Degree/
Diploma
University
Year
Specialization
From To




















APPLICATION FORM

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4. Details of Present Employment (if applicable):


Designation



Department


Name of the Employer


Address of the Employer


Experience (No of years)








5. Demand Draft Details:

Demand Draft No Amount Date






Name & Address of the Bank -----------------------------------------------------------------------------------------------------------



(Note: All payments should by Demand Draft be in favor of Consultancy Development Centre and
payable at New Delhi, India). Last date of submission of Application is 7
th
October 2014. The Orientation
and first class will be held on 12
th
October 2014 (Sunday) at CDC premises.
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DECLARATION BY THE CANDIDATE


I hereby declare that all the statements made in this application are true, complete and
correct to the best of my knowledge. In the event of any information being found false or
incorrect or ineligibility being detected before or after the examination, action may be taken
by the Consultancy Development Centre as deemed fit, against me. Once fee is deposited
and admission is done than the fee will not be refunded.



Date________________ ________________________
Signature







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ENCLOSE FOLLOWING DOCUMENTS ALONGWITH APPLICATION:

1. Degree/Diploma Certificate issued by the University/ College/ Institute.
2. Certificate from institute in support of being a final year student (in case of final year
students)
3. Certificate issued by competent authority in support of OBC/ SC/ ST/Physical
Handicapped candidates
PROGRAMME FEE

General Category

The fee for Certificate Programme in Management Consulting) is Rs.10, 000 +
service tax @ 12.36%. The total fee payable is Rs. 11, 236/-(Rupees Eleven
thousand and two thirty six only). Service tax as applicable shall be payable at the
time of admission.
,
Group Concession Scheme for General category students
S.no Groups Fee Concession structure for General
Category*
1 For 3 and above upto 5nos of students 10% Concession in total fee
2 For 6 upto to 10 nos of students 15% Concession in total fee
3 Above 11 20% Concession in total fee




OBC/SC /ST Category /Physical Handicapped

Programme fee is Rs. 7500 (after 25% concession for OBC/ SC/ ST
category/Physical handicapped in the programme fee of Rs. 10,000/-) + Rs. 927/-
service tax @ 12.36%. The total fee payable is Rs. 8427/- (Rupees Eight thousand
and four hundred and twenty seven only). A candidate who claimed to be from
OBC/SC/ST/Physical Handicapped category shall support his candidature by a
certificate from the competent authority. Service tax as applicable shall be
payable at the time of admission.






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The fee is to be paid by demand draft drawn in favor of Consultancy Development
Centre, payable at New Delhi.

Fee payment paid by organization towards nominating their employees for Certificate
Programme in Management Consulting are requested to submit the covering letter
along with the Demand draft and application form stating that the payment has
been made by the organization, hence the receipt shall be made in favor of the said
organization.


NOTE :

If there is any change in communication address submitted to CDC during the
programme duration, candidates are requested to communicate to programme
coordinator CDC minimum 2 weeks prior to the scheduled examination. The
address is required for dispatch of the certificates to the qualified students,
otherwise CDC will not be responsible for loss of certificate and Rs. 150 will be
charged for issue of duplicate certificate.
Application found incomplete in any respect is liable to be rejected
This Certificate Programme is not AICTE approved

Filled in Application along with requisite fee and above documents in support of
eligibility may be sent to:



Ms. Pooja David
Programme Coordinator (CPTC)
Consultancy Development Centre,
An Autonomous Institute of DSIR,
Ministry of Science & Technology, Govt. of India
India Habitat Centre, Core IV B, 2nd Floor,
Lodhi Road, New Delhi-110003;
Tel: +91-11-24602601, 24601533, 24602915
Fax: 011-24602602
Email : pooja@cdc.org.in,
Website : www.cdc.org.in