MAEER’s MIT

Maharashtra Academy of Engineering & Educational Research

(MAEER), Pune, Established in 1983, is a well-known
educational trust with 47 institutions delivering KG to PG
education Founded with a simple proposition of meeting the
need of a center for scientific and educational research,
MAEER’s Maharashtra Institutes of Technology (MIT) stands
proud with campuses sprawling acres of hallowed grounds at
various locations.

Conducting Pune University approved and autonomous

academic programmes in Engineering, Management,
Pharmacy, Medicine and Polytechnic, this multi-campus and
multidisciplinary weaves a mosaic of integrity, commitment and
dedication binding it with strands of strong Indian values.

With alumni that are an assortment of professional working in

blue-chip companies; eminent permanent & visiting faculty that
is decided to honing students; world-class infrastructure that
meets international standards; academic partnership with major
international companies that help develop a global outlook and
stunning campus placements that vault careers, MIT continues
to be a gateway to a successful future for students across the
continents
Vision
“MITSDE embraces a vision to enhance the scientific
and cultural vision of the society while developing and
sustaining the institute’s identity as one of the best
distance learning institutions of the highest international
quality.”

Mission
“As India’s leading center of academic excellence,
MITSDE is committed to imparting productivity,
entrepreneurship & creativity among the student through
an outstanding educational environment. The institute
also aims to develop learners equipped with high
personal and professional skills for the corporate world
by supporting study across a wide range of academic
disciplines and serving the major professions.”

“ To harness the knowledge of science and

technology for the welfare of the society.
”

Post Graduate Diploma Course in Business Administration (PGDBA)

Semester I Semester II

101 Business, Government & Society 105 Financial Reporting and Control (Accounts)
102 Leadership & Organisational Behaviour (I.R) 106 Managerial Economic
103 Corporate Communication 107 Managerial Finance
104 Quantitative Methods 108 Technology and Operations Management
109 Marketing Management
Semester III Semester IV Marketing

110 Human Resources Management 115 International Marketing

111 Entrepreneurship 116 Advertisement and Sales Promotion
112 Legal Framework and Business 117 Product and Brand Management International Marketing
113 Management Information Systems 118 Industrial Marketing
114 International Economy & Finance 119 Financial Services Marketing

Semester IV Human Resource Semester IV Information Technology

125 Strategic HR 133 C++ Programming.

126 Training and Development 134 Operating Systems.
127 Recruitment, Selection & Retention 135 Database Management System.
128 Enterprise Resource and Planning 136 Object Oriented Analysis and Design.
129 Labour Laws 137 Java Programming.

Semester IV Operations Semester IV Finance

130 Managing e-business 120 Capital Markets

131 Project Management 121 Financial Institutions
132 Production Planning and Control 122 Corporate Tax Planning
128 Enterprise Resource and Planning 123 Investment Planning and Management
124 Risk Management 124 Insurance & Risk Management

Semester IV Supply Chain Management Semester IV Materials Management

Concepts of Supply Chain Management Material Management

Logistics & Distribution Management Supply Chain Management
Legal Aspect of Supply Chain Management Total Quality management
Risk Management Risk Management
Project Report Project Report

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 20,000 $ 2000

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination.For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: Two years.

Validity of registration: Four years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Post Graduate Diploma Course in Energy Management (PGDEM)

Semester I Semester II

401 General Aspects of Energy Management and
Energy Audit
402 Energy Efficiency in Thermal Utilities
403 Energy Efficiency in Electrical Utilities
404 Energy Performance Assessment
405 Energy Audit & Management
406 Renewable Sources of Energy
407 Energy Audit Assignments and Report
Presentation
408 Energy Instrumentation and Information
Analysis

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 20000 $ 2000

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

One Years Post Graduate Diploma Course in Fire Protection Engineering (PGDFPE)

Semester I Semester II

301 Fire Engineering Sciences
302 Fire Protection System (Part I)
303 Fire Dynamics, Appl. & Fundamental
304 Fluid Mechanics & Fire Hydraulics
305 Fire Detection & Alarm Systems
306 Risk Management, Fire Insurance & Law
307 Industrial Hygiene & Occupational Health
308 Safety Engineering & Industrial Safety
309 Fire Protection System (Part II)
310 Project Work

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 20000 $ 2000

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

One Years Post Graduate Diploma Course in Piping Design & Engineering (PGDPDE)

Semester I Semester II

201 Fluid Handling 204 Thermal Insulation

202 System Engineering 204 Costing of Piping
203 Layout Engineering 204 Hygenic PipingThermal Insulation
205 Corrosion and Material Selection
205 Instrumentation and Process Control
206 Welding and NDT Management
206 Statutory Regulation & Regulatory Acts
207 Stress Analysis

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 20000 $ 2000

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

One Years Post Graduate Diploma Course in Risk and Insurance Management (PGDRIM)

Semester I Semester II

501 Principles and Practice of Life & General 506 Engineering & Liability Insurance
Insurance 508 Motor Insurance & Agricultural & Mis. Insurance
124 Risk Management 507 Life Insurance II
503 Life Insurance I 123 Investment Planning & Management
504 Fire Insurance 119 Marketing of Financial Services
505 Marine Insurance

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Post Graduate Diploma Courses in Project Management (PGDPM)

Semester I Semester II

131 Project Management 146 Project Planning Concepts

113 Management Information Systems 147 Project Execution
104 Quantitative Methods 148 Project assessment
132 Production Planning & Control 149 Project Administration
128 Enterprise Resource Planning 150 Project Report

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

One Year Post Graduate Diploma Courses in Retail Management (PGDRM)

Semester I Semester II

113 Management Information Systems 141 Retail Marketing

116 Advertising and Sales Promotion 142 Strategic Retail Management
117 Merchandising Management 143 Retail Sales & Customer Service
106 Managerial Economics 144 Retail Personnel Management
108 Technology and Operations Management 145 Project Report

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Post Graduate Diploma Course in Finance Management (PGDFM)

Semester I Semester II

105 Financial Reporting and Control (Accounts) 120 Capital Markets

104 Quantitative Methods 121 Financial Institutions
106 Managerial Economic 122 Corporate Tax Planning
107 Managerial Finance 123 Investment Planning & Management
114 International Economy & Finance 124 Risk Management

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Post Graduate Diploma Course in Information Technology (PGDIT)

Semester I Semester II

134 Operating Systems 108 Technology & Operation Management

113 Management Information Systems 152 Networking Concepts
135 Database Management Systems 133 C++ Programming
137 Java Programming 154 Object Oriented Analysis & Designing
130 Management E-Business 155 Project Report

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Post Graduate Diploma Course in Marketing Management (PGDMM)

Semester I Semester II

109 Marketing Management 115 International Marketing

102 Leadership & Organisational Behavior 116 Advertising & Sales Promotion
103 Communication 117 Product & Brand Management
113 Management Information Systems 118 Industrial Marketing
111 Entrepreneurship 119 Financial Services Marketing

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Post Graduate Diploma Course in Human Resource Management (PGDHRM)

Semester I Semester II

110 Human Resources Management 125 Strategic HR

102 Leadership & Organisational Behaviour 126 Enrichment-Training & Development
103 Communication 127 Recruitment-Selection & Retention
113 Management Information Systems 128 Enterprise Resource & Planning
101 Business Government & Society 129 Labour Laws

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Post Graduate Diploma Course in Operations Management (PGDOM)

Semester I Semester II

108 Technology & Operations Management 130 Managing E-Business

113 Management Information Systems 131 Project Management
112 Legal Framework & Business 132 Production, Planning, & Control
101 Business, Government & Society 128 Enterprise Resource & Planning
104 Quantitative Methods 124 Risk Management

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Post Graduate Diploma Course in Wealth Management (PGDWM)

Semester I Semester II

104 Basic Quantitative Tools 156 Retirement Solutions

106 Managerial Economics 157 Security Analysis
124 Risk Management 158 Portfolio Management
121 Financial Institutions 159 Constructing Financial Plan & Wealth Management
123 Financial Planning 160 Banking and Mutual Fund Products

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.
Post Graduate Diploma in Supply Chain Management (PGDSCM)

Semester I Semester II

113 Management Information Systems Concepts of Supply Chain Management

112 Legal Framework and Business Logistics & Distribution Management
130 Managing e-business Legal Aspect of Supply Chain Management
104 Quantitative Methods Risk Management
108 Technology and Operations Management Project Report

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Post Graduate Diploma in Materials Management (PGDMTM)

Semester I Semester II

113 Management Information Systems Material and Store Management

112 Legal Framework and Business Supply Chain Management
130 Managing e-business Total Quality management
104 Quantitative Methods Risk Management
108 Technology and Operations Management Project Report

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: Any Graduate or Diploma holder with three years of experience.

Diploma in Retail Management (DRM)

Semester I Semester II

113 Management Information Systems 141 Retail Marketing

103 Corporate Communication 142 Strategic Retail Management
161 Merchandising Management 143 Retail Sales & Customer Services
116 Advertisement and Sales Promotion 162 Brand Management

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: 12th Std passed or equivalent (in any discipline).

Diploma in Business Administration (DBA)

Semester I Semester II

102 Leadership & Organizational Behavior 109 Marketing Management

106 Managerial Economic 107 Managerial Finance
113 Management Information Systems 110 Human Resources Management
104 Quantitative Methods 108 Technology and Operations Management
103 Corporate Communication 111 Entrepreneurship

Fee Structure

Sr. No. Fee Structure Indian Residents fees NRI / Foreign Residents

1 Course Fee Rs. 15000 $ 1500

2 Prospectus Fee Rs.1000 $100
3 Registration Fee Rs.1000 $100

Exam Fee per Attempt:

For all the subjects First attempt exam fees @ Rs. 200 per Subject / US $ 50 has to be paid at the time of Examination. For
Subsequent attempts the exam fees will be Rs. 200 per Subject / US $ 50 Payable at the time of examination. Total Fees to be paid
in full at the time of admission in the form of Demand Draft drawn in favour of "MIT School of Distance Education"
Payable at Pune.

Duration: One years.

Validity of registration: Two years.
Eligibility: 12th Std passed or equivalent (in any discipline).
 TM

MAEER

MIT SCHOOL OF DISTANCE EDUCATION

S. No. 124, Paud Road, Kothrud, Pune-411 038, India
Tel.: 020-25465882/83 Fax : 020-25454918 E-mail : admissions@mitsde.com

Admission No.
ADMISSION FORM

To
Passport
The Director Size
2 Photos
Student Category

Civilian International student/NRI Defence Para-Military Police MIT Staff

First Name Middle Name Last Name

Birth Date : d d m m y y y y

I request for grant of admission to the below mentioned program being offered by your institute for the academic year 20___.
(Tick the appropriate program)

T
w
oY
e
a
r
sP
ro
g
r
am
s
Post Graduate Diploma in Business Administration (PGDBA) with specialization in
¨
Marketing ¨
Finance ¨
Human Resource ¨
Operations ¨
Information Technology

One Year Program

¨
Post Graduate Diploma in Piping Design And Engineering ¨
Post Graduate Diploma in Human Resource Management
¨
Post Graduate Diploma in Fire And Protection Engineering ¨
Post Graduate Diploma in Operations Management
¨
Post Graduate Diploma in Energy Management ¨
Post Graduate Diploma In Information Technology
¨
Post Graduate Diploma in Risk & Insurance Management Post Graduate Diploma In Wealth Management
¨
¨
Post Graduate Diploma In Retail Management ¨
Post Graduate Diploma in Supply Chain Management
¨
Post Graduate Diploma In Project Management ¨
Post Graduate Diploma in Materials Management
¨
Post Graduate Diploma In Marketing Management Diploma In Business Administration
¨
¨
Post Graduate Diploma In Financial Management Diploma In Retail Management
¨

Address For Communication Permanent Address

(Students are required to give both the addresses)
Address : Address :

City : State : City : State :

Country : Pin Code : Country : Pin Code :
Tel.: Mobile : Tel.: Mobile :
E-mail : E-mail :
E-mail : E-mail :

For MITSDE Use Only

Admission Status Form Status Date of Registration Registration Number
Confirmed Provisional C I
Address of Organization (for Working Professionals is compulsory)

(To be filled by Working Personnel only.) To be filled by Defence/ Para Miltary/ Police Personnel only
Name & Address of the Organization : Service Number :
Rank / Cadre :
Total Service (years) Date of Commission / Enrolment:
Current Designation: Arms / Services : Army Navy Air Force
Contact Tel. No.: Total Service (years)
E-mail : (Personnel from Armed Force / Para Military/ Police are required to
attach a letter on official letterhead giving proof of services)

Academic Details (Degree / Diploma)

Examination Degree Institute / University Year of Passing Elective / Specialization Class / Division % Marks

Fee Details
I am remitting an amount of Rs / $ (Details are as below):

For Indian Residents : For Non Resident Indian / Foreign Residents:

1. Registration Fees : Rs. 1000 1. Registration Fees : $ 100
2. Prospectus Fees : Rs. 1000 2. Prospectus Fees : $ 100
3. Programme Fees : Rs. __________ 3. Programme Fees : $ __________
Total Fees : Rs. __________ Total Fees : $__________

Mode of Payment : Cash (Only for Walk-in Submission) DD

DD No. Date : Bank Name :
Attested Xerox copy of following Documents Attached herewith (Please Tick) :
Degree Certificate Diploma Certificate Provisional Certificate Marriage Certificate Photographs 2 nos.

Service Certificate (in Case of Diploma holders or Defence / Paramilitary / Police) Photo Identity

Certificate of Undertaking
I declare that the information provided by me in this application form is true to the best of my knowledge. I am fully aware that in case
any information provided is found erroneous, it will result in cancellation of my registration / admission. I have read the prospectus
carefully and agree to abide by all the rules and polices of the Institute.
Place :
Date : (Signature of Applicant)
FOR MITSDE USE ONLY
Form filled completely
If no reason 1) 2) 3) 4)
Certificates not attached Graduation Diploma Provisional Other
Certificates not attached Form Incomplete / not signed Photographs not attached (2 nos)
Service certificate not attached Registration Fee not remitted.
(For diploma holder only & defence personnel only)