RLEK Human Rights Centre

Dehradun, India

Post Graduate Diploma Course in Human Rights

Application Form

Instructions for the Applicant:

Type or print all information clearly and completely

in the spaces provided.  Incomplete applications will

not be entertained.

Please note that one reference letter (form attached)

should be sent directly by the referee to the address

below.

COMPLETED APPLICATION FORMS MUST

BE RECEIVED BY 30^th APRIL 2008.

A.  Personal Data

Name                                                             ___________________________________

Sex                                                                 Male / Female (please circle)

Date of Birth (dd/mm/yy)                              ___________________________________

Marital Status                                                ___________________________________

Nationality                                                      ___________________________________

Passport No. & Date of Expiry

            (if applicable)                                    ___________________________________     

Mailing Address                                           ___________________________________

                                                                        ___________________________________

                                                                        ___________________________________

Telephone/Fax                                              ___________________________________

E-mail Address                                             ___________________________________

Permanent Address                                     ___________________________________

                                                                        ___________________________________

                                                                        ___________________________________

B.  Educational Qualifications:

(Enclose attested copies of certificates)

C.  Language Proficiency

Language(s) known                                      _______________________________________

English Language Proficiency (circle one)                        Excellent / Good / Fair / Poor

D.  Publications

List your significant publications in journals, books, etc., if any (attach separate sheets if required).

E.  Employment/Work Experience (Please list only the most relevant data.  Attach extra sheets if necessary)

F.  Free-response questions (Please write no more than 200 words for each question. You can attach extra sheets if necessary)

1. Why are you interested in taking part in this post-graduate diploma course?

2. In what ways do you feel you are suitable for this post-graduate diploma course in Human Rights?

3. What do you intend to do after you complete this course and how will you apply your knowledge practically for the promotion of a Human Rights Culture? 

G.  Applicant's Statement

I undertake to attend at least 75% of the lectures to be eligible to appear in examinations at the end of the session.

I _____________________________ (name of applicant) certify that the above information is true, complete and accurate to the best of my knowledge.

Date: ______________                              Signature:__________________________

Mail to:

Please Note: Applicants who have downloaded the form directly from the website are requested to send a Demand Draft of Rs. 500/- in favour of Rural Litigation & Entitlement Kendra, payable at Dehradun. The application form will not be accepted without the Demand Draft.