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INSTITUTE FOR SOCIAL AND ECONOMIC CHANGE

Dr V.K.R.V Rao Road, Nagarabhavi, Bangalore-560 072

Application for Summer Course in Social Sciences

1. Name of candidate (in block letters)


2. Complete permanent address

3 Present mailing address

4 Email id
Phone Nos.
5 Course currently being studied

6 Year in which studying

7 Institution in which studying

8 Marks obtained in the previous two


years (attach a copy of statement of
marks)
9 If you want a career in Social
Sciences, why are you interested in
it? (attach a brief write up in about
50 words)

Date: Signature of candidate

Recommendation of Head of Department


(Please give a brief account of candidate’s
interest and academic abilities.)

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