Online Application Form
APPLICATION FOR ADMISSION TO PGDM PROGRAMME
(
Please fill in the form in BLOCK LETTERS
)
Name
:
S/OD/OW/0
:
Present Address
:
Permanent Home Address
:
Phone No
:
Cell No. (if any)
:
E-mail
:
Contact no. of Guardian/Relative incase of emergency Phone
:
Contact no. of Guardian/Relative incase of emergency Email
:
Scores in MAT/XAT/JMET/ATMA/OJEE/CET/GMAT/ Equivalent Test
:
Pecentile
:
Month
:
Year
:
PERSONAL DATA
Date of Birth
:
31
30
29
28
27
26
25
24
23
22
21
20
19
18
17
16
15
14
13
12
11
10
9
8
7
6
5
4
3
2
1
12
11
10
9
8
7
6
5
4
3
2
1
2011
2010
2009
2008
2007
2006
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2002
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1921
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1919
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1917
1916
1915
1914
1913
1912
1911
1910
1909
1908
1907
1906
1905
1904
1903
1902
1901
1900
Blood Group
:
Category
:
GENERAL
SC
ST
OBC
Gender
:
Male
Female
Marital Status
:
Maried
Unmaried
Father's Name / Guardian's Name
:
Occupation
:
Designation
:
Organisation
:
EDUCATIONAL QUALIFICATION SCHOOLING
ClassX
Examination
Institution
Board/Council
Year of Passing
% Of Marks Div/Class
ClassX+2
Examination
Institution
Board/Council
Year of Passing
% Of Marks Div/Class
Medium of instruction at school
:
GRADUATION
Name of Degre
Hons./Majo
Institution
University
Year of Passing
% Of Marks Class
University Regn.No
:
Year
:
Name of University
:
POST GRADUATION
Name of Degre/Diploma
Exam. Passed& subject
Duration
University/Institute
Year Passed
% Of Marks/ Class
Any Distinction, special prizes or recognition received by you (Mentioned briefly with documents)
:
Special aptitude in any particular field:- (Performing arts, music, painting, games etc.)
:
Employment Record (If any)
Particulars of Employment
Present job
Previous job
Designation
Name of organisation
Address. of torganisation
Contact number of organisatio
Duration of Servic
From
To
Salary per month
Name and Address No. of Refers (not relatives)
Name
Address
Organisation
Designation
Email
Attested documents to be submitted along with the Application Form:
i) Proof of Age / Date of birth.
ii) Certificates/ Mark sheets of all the Examinations passed.
iii) Last University Registration Certificate.
iv) Letter of authorisation from the employer / NOC (if applicable).
v) Original receipt of Rs.500 / 550 for the application form and prospectus.
vi) Admit card/Score sheet of MAT/Equivalent exam.
vii) 5 passport size & 5 stamp size photographs.
Note: Company-sponsored candidate will submit the Application Form through the Employer. If not sponsored by the Company, candidate should submit a "No Objection Certificate" from the Employer
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