APPLICATION FORM 2024 - 2025

IMPORTANT: Scanned recent passport sized photograph of the applicant needs to be uploaded while filling up the registration form.
Please ensure you have your photograph in jpg format readily available before proceeding with the registration.

(Please provide full information. All the entries are obligatory)

PERSONAL INFORMATION

Salutation

Surname*

Name*

State*

PIN*

Phone*

Email* Email ID is Invalid

Date of Birth*

Please select your Year of Birth
Please select your Month of Birth
Please select your Day of Birth

Permanent Address*

Religion*

Christian

Others

Academic Record Year Stream / Major Subjects % Institution
SSC / ICSE / CBSE / Others* Please enter your SSC passing year
HSC
Graduate* Please enter your year of Graduation Please enter your Graduation course
Other

Computer Knowledge* Tick one or more
MS Office Word Excel Power Point	Adobe InDesign Illustrator Photoshop Premiere Pro	Any Other

Have you worked in the field of media?
Yes No
If you have, in what capacity?

WORK EXPERIENCE
Year Company (Name, Address, Tel.) Nature of work

I came to know about XIC through* : (Please tick the appropriate box)
XIC Ex-student Advertisement in
Friends Website
Poster Other Source

DIPLOMA COURSES

Select the Diploma Course of your choice. Only one course may be chosen

SMDC - Digital Content Strategies (CAP-SMDC2)

Statement of Purpose* (SOP) (in no more than 150 words)
Describe the influence of media on your life. (Please Note: Do not use SMS Language or Emoticons).
words left Please enter your Personal Statement

What are the reasons for choosing this course, and why XIC is your preferred choice? (Please Note: Do not use SMS Language or Emoticons).
words left Please enter your Statement

Upload Your Photo*
Upload Photo The file size of your photograph should be less than 1 MB. Please upload your photo

ATTESTATION*
I affirm the above information to be true and correct. I agree to abide by the rules and regulations of this test as given on the information page of the XIC website.
Date: Name:

We want to make sure that a real person is filling up the form. Enter the letters you see in the box below

Enter Verification Code *

can't read? refresh

(Please enter Verification Code carefully, else you will have to reupload your photograph.)