Faculty of Humanities & Social Sciences

TRIBHUVAN UNIVERSITY

Central Department of Conflict, Peace and Development

Form 1: Application for Admission (Please type your answers or write in block letters.)

A) PERSONAL INFORMATION

1. Legal Names

Mr./Ms.

First Middle Last

2. Current Mailing Address

Telephone/Mobile Fax (if any)

3. Permanent Address

Telephone/Mobile Fax (if any)

4. Email Address

5. Sex - Male - Female

6. Date and Place of Birth

Date of Birth (Day/Month/Year)

Place of Birth/Village/Town/Province District Country

7. Nationality

a. Country of Citizenship b. Country of Residence

8. Passport Details (Only if applicable)

Passport No Date of Issue

Place of Issue Expiry Date

Visa: Date of Issue

Expiry Date

B) ACADEMIC QUALIFICATIONS

9. List names of all universities and colleges you have attended, with the most recent institution first. An official transcript of your academic record from each college or university must be submitted together with all the application documents. University-attested hard copies are required once admission is confirmed.

Bachelor Degree

Name of University/Institution & Location (City/District/Province/Country) / Degree/Major Subject/Dates Studied / Class Rank/Scholastic Honors
Name / Degree
Major Subject / Class Rank/Class Size
Location / Program Duration (Years)
From (Mo/Yr) To (Mo/Yr) / Honors received
Degree Awarded (Day/Month/Year)

Other Degrees

Name of University/Institution & Location (City/Province/Country) / Degree/Major Subject/Dates Studies / Class Rank/Scholastic Honors
Name / Degree
Major Subject / Class Rank/Class Size
Location / Program Duration (Years)
From (Mo/Yr) To (Mo/Yr) / Honors received
Degree Awarded (Day/Month/Year)

10. Please list titles of publications, major papers, or theses of which you are author or co-author, if any. If

published, give citation (Attach additional sheets, if necessary.)

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Date Signature of Applicant

11. Candidate should give two referees’ names and addresses (include in the CV)

12. Candidate should submit his/her CV

13. Other requirements:

Candidate should write a personal essay on ‘who you are and what you hope to professionally achieve after the completion of this course’ not exceeding 1000 Words.

14. Candidates should have sufficient knowledge on the ethnic conflict situation prevailed in Sri Lanka.

15. Candidates are required to sit for the Merit Test (Entrance examination) for Academic Year 2014-16

Date & Time of entrance examination will be notified

16. Recommendation/Nomination by the Head of the Institution if applicable.

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Date Name Signature

Rubber stamp