Candidate Details CoursePGDMMBA Name of Candidate Father's Name Mother's Name Date of Birth Nationality Gender MFT Category —Please choose an option—GeneralSCSTOBC Religion Person with disability YesNo AADHAAR No. Current Residential Address State Pin Code Permanent Residential Address State Pin Code Contact Details For Student Mobile No Alternate No E-mail ID For Parents Mobile No Alternate No E-mail ID Details of Qualifications 10th Stream Board/University Details of School/Institute/College Name State City Year of Passing % of Marks or CGPA 12th Stream Board/University Details of School/Institute/College Name State City Year of Passing % of Marks or CGPA Bachelors Stream Board/University Details of School/Institute/College Name State City Year of Passing % of Marks or CGPA Others (if any) Stream Board/University Details of School/Institute/College Name State City Year of Passing % of Marks or CGPA Please Fill as Applicable (Attach copy of score card - Mandatory) Examination: CAT Examination Moth & Year of Appearing Composite/Total Score Overall Percentile(%) Result Valid Up to Examination: MAT Examination Moth & Year of Appearing Composite/Total Score Overall Percentile(%) Result Valid Up to Examination: CMAT Examination Moth & Year of Appearing Composite/Total Score Overall Percentile(%) Result Valid Up to Examination: Other Examination Moth & Year of Appearing Composite/Total Score Overall Percentile(%) Result Valid Up to Work Experience (if any) Position Organization Name Job Profile Period (from-To) Position Organization Name Job Profile Period (from-To) Medium of previous education EnglishHindi Father's Occupation Family Annual Income (₹) EWS Certificate (For General Category Only) YesNo Whether college hostel accommodation is required YesNo If yes, Specify Seater 23 Whether college bus is required YesNo Interested in global accelerated exposure in PGDM program YesNo IMPORTANT Eligibility Bachelor's Degree or its equivalent in any discipline from a statutory university with at least 50% aggregate marks or equivalent CGPA. Candidates graduating by 31 July 2024 can also apply but must prove their eligibility latest by 30 August 2024. Those not producing the eligibility certificates as per the date mentioned will be disqualified/de registered irrespective of their having joined the program provisionally. Applicants are required to have valid CAT/MAT/CMAT/XAT/GMAT/ATMA score. Selection Process Shortlisted applicants only (on the basis of relative merit amongst received applications) will be called for Group Discussion (GD)/ Personal Interview (Pl). Submission of application does not automatically qualify the candidate for GD/PI. The final selection will be based on the academic performance, test score, language proficiency and performance in the GD/PI. DECLARATION l, hereby declare that all the particulars stated in this application form are true to the best of my knowledge and belief. I also understand that I have read the notes above and the submission of application does not automatically qualify me for GD/PI. In the event of suppression or distortion of any fact like date of birth, nationality, category, qualification etc. made in my application form, I understand that I will be denied the opportunity to be admitted, my admission would stand cancelled. I am aware of Institution's approach toward ragging and the punishment, to which I am liable, if found guilty of ragging. Δ
