Jnana Prabodhini’s Institute of Psychology
Application Form for the year 2024-25
Advanced Course in School Psychology
(Affiliated to Savitribai Phule Pune University)

Advanced Course in School Psychology

"*" indicates required fields

Student's Full Name*

Maiden Name (in case of married females)

Mother's Name*

Date Of Birth*

Birth Place*

State/Domicile*

Student's E-mail*

Student's Phone*

Gender*

Nationality*

Category*

Caste*

Blood Group*

Form Fee*

Price:

Minority Type

Religious*

Linguistic*

Select Your Religion*

Aadhar No.*

Physically Handicapped*

Current Address*

Address Line 1 Name of City/ town/ village District State Pincode Country

Permanent Address*

Address Line 1 Name of City/ town/ village District State Pincode Country

Parent / Spouse's Details

Full Name*

Mobile No*

Parent / Spouse's E-mail*

Occupation

Relationship with Applicant*

Annual Income (Rs.)*

Education Details

10th

Board Name*

Month and Year of Passing*

Name of School*

Class / Grade obtained*

Total Marks and percent % marks*

12th

Board Name*

Month and Year of Passing*

Name of School/College*

Class / Grade obtained*

Total Marks and percent % marks*

Graduation

Name of the degree*

Month and Year of Passing*

Name of College/ Institute and Place*

Class / Grade obtained*

Total Marks and percent % marks*

Special Subject*

Post Graduation

Name of the degree

Month and Year of Passing

Name of College/ Institute and Place

Class / Grade obtained

Total Marks and percent % marks

Special Subject

Previous Experience*

If yes, please specify

Place*

Today's Date*

Signature of the Candidate*

Max. file size: 32 MB.

Photograph of the Candidate*

Max. file size: 32 MB.

Attach Documents

10th marklist/ passing certificate*

Max. file size: 32 MB.

12th marklist/ passing certificate*

Max. file size: 32 MB.

Graduation marklist*

Max. file size: 32 MB.

Post graduation marklist

Max. file size: 32 MB.

Caste certificate (if applicable)

Max. file size: 32 MB.

Marriage certificate (if applicable)

Max. file size: 32 MB.

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Advanced Course in School Psychology

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