CIPL - Chanakya Institute of Public Leadership

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Personal Details:

Name of Applicant :

Surname:

Name:

Father's Name

Residential Address:

Correspondence Address:

Date of Birth:

Educational Qualifications: (Graduation Onwards)

Degree

Branch/Subject

Year

%Marks/ CGPA

Occupation:

Service
Business
Professinoal
Student
Others (Pls specify)

Employment History: (if applicable)

Company

Period (Yrs)

Designation

Family Details:

Father's Name:

Occupation:

Service
Business
Professional
Student
Others (Pls specify)

Employment History: (if applicable)

Government Servant
Public Sector
Private Sector
Others (Pls specify)

Mother's Name:

Occupation:

Service
Business
Professional
House wife
Retired
Others (Please Specify)

Employment History: (if applicable)

Government Sector
Public Sector
Private Sector
Others (Please Specify)

Total Members in a Family: (incl. self)

No. of Dependants:

Total Family Income:(Rs. per annum)

Please write an essay in your own words (not exceeding 600 words) covering the answers to the following questions:
Q1. What according to you are the two most challenging issues facing India today? Q2. What are the important ideas to focus on in the next 10 years? Q3. Why do you want to join Politics? Q4. Why do you think we should select you?

Your e-mail id:

Your Contact No.

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