IMAGE COLLEGE OF ARTS, ANIMATION & TECHNOLOGY

APPLICATION FOR PG DIPLOMA (2010-2011)

INSTRUCTIONS TO CANDIDATES 1. The Diploma for all the courses will be conferred in Presentia / in Absentia. 2. Convocation will be held on 3rd week of February 2012 (tentatively) 3. Last date for receipt of filled in Application: 11-Feb-2012 4. Incomplete and late application will not be accepted. 5. Candidates applying for Post Graduate Diploma should enclose a photo copy of their Undergraduate Degree namely B.Com., B.A., B.Sc., B.E., etc.; (Otherwise their application will be rejected.) 6. The filled in applications should reach the College by registered post / courier / email (scanned copy) and to be addressed to Address: Superintendent of Examinations, Image College of Arts, Animation & Technology, 153, Santhome High Road, Mylapore, Chennai - 600 004 E-Mail: exam@icat.ac.in 7. Those collecting through post, the prescribed fee Rs.500/- should be sent by a Demand Draft drawn in any Nationalised Bank, in favour of ICAT, payable at Chennai. 8. Those collecting through their authorised representative have to complete the Letter of Authorisation 9. Please note the bearer of the Authorisation letter must carry a valid identification (original and photocopy) that clearly states their name

APPLICATION FOR PG DIPLOMA (2010-2011)

Name (in block letters) Registration Number Gender : _____________________________________________ : __________________________ : Male / Female

Program for which application is made: ____________________________________ Address for Communication:

Mob:

E-Mail

Qualifying Degree Details (Enclose a photo copy) Degree obtained Name of the University Month and Year completion Mode of collection: In person / through my representative / by post (tick applicable). If collecting by absentia: Demand Draft No. Bank Name & Branch Date ______________________________________ ______________________________________ ______________________________________

Note: On the back of the Demand Draft please write your name, ID number and name of the course. And Certificates will be sent to the above mentioned Address for Communication

Applicant Signature

Date:

ONLY for candidates requesting Diploma through authorised representative: LETTEROFAUTHORISATION (Tobesentthroughauthorisedrepresentative) I __________________________________________________(Applicant Name),

_______________________ (Registration Number) authorise the bearer of this letter Mr. / Ms. _______________________________________( Name of Representative ) to collectmyDiplomaonbyBehalf. Date: Signature of Applicant

Note: The bearer of this letter must carry a valid identification (original and photocopy) that clearly states their name