Post Graduate Diploma in Management

Equivalent to MBA by AIU

PGDM (2018-2020 Batch)

APPLICATION FORM

(1) Personal Details (Please Fill all details in Capital letters only, as per high school board certificate)

Name: (Mr./Ms.)

Father's Name:

Mother's Name:

E-mail Address of the applicant:

Mob. No. (Student)

Mob. No. (Father)

Mob. No. (Mother)

Mob. No. (Local Gurdian)

Date of Birth (DD/MM/YYYY)

Sex:

M F

Marital Status:

Correspondence Address:
(Thise will be the address of Correspondence. Applicant would be responsible to communicate change, if any)

City:		State:
Pin:		Tel:

Permanent Address:

City:		State:
Pin:		Tel:

Category:

Gen. OBC SC ST Kashmiri Migrant

Nationality:

Are you an NRI:

YES NO

If yes, Country Of domicile:

Religion:

(2) Parent / Guardian Details

Occupation of Father or Guardian (if father is not the Guardian):

Govt. Service Private Service Self Employed Any Other

Designation

Name and Address of Local Guardian

Tel. No.

Fax No.

Name and Address of Organization

Pin:		Std Code:
Tel:		E-mail ID:

(3) Do you Require Hostal Accommodation: YES NO

(4) ACADEMIC QUALIFICATION

Name of Exam.	Stream/Subject	School/College	Board/University	Year	% marks secured
High School/ Secondary
Intermediate/ Higher Secondary
Graduation Specify:
Post Graduation
Professional & Other degrees

Marksheet of Graduation:

CAT/ MAT/ ATMA/ Any other Score Card:

Medium of instructions in School: English Hindi

Other (Please Specify)

Sports/ Extra Curricular Activites/ Hobbies

Sports Achievements (Awards, Scholarship etc.)

Are you graduate from any Campus of I.T.S-The Education Group: YES NO

If yes:

Course:

Year of Passing:

Division:

% Marks:

(5) Work Experience (if any):

S.No.	Name and Address of Organisation	Period From	To	Designation

(6) specify Entrance Exam Appeared for:

Enrl. No.

Composite Score:

Percentile:

(7) How did you come to know about I.T.S ? Please tick on appropriate source & specify the name:

Newspaper			Magazine
Google Search			Facebook

Web portals
Hoardings (Please Specify the city location)
Career Fair
Though Friends/ Relatives
Any other Source

(8) Have you ever been convicted under Law for any offence: YES NO

DECLARATION BY THE APPLICANT

I, on admission, will adhere to the rules and discipline of I.T.S. I have clearly understood the eligibility requirements as per norms of the course applied for and confirm that, I fulfill all the requirements for admission to this course. I hold myself responsible for the dues and prompt payment of fees. I have noted that fees paid is not refundable, under any circumstances. I have filled up the application form knowing all the details for admission may be cancelled by the institute. I also undertakes that I shall not seek inter-Course transfer after admission.

Date

Signature of the Applicant

I fully endorse the declaration made above by the candidate. I shall ensure prompt, complete and timely payment of all fees & other dues, financial or otherwise. Besides, I undertakes to guarantee his/her good conduct and behavior during the tenure of his/her studentship in the Institute. If ever the candidate contravenes any of the rules and regulation of the Institute and the hostel and also the above condition. I will abide by the decision of the Institute authorities & same will be final & binding on me & the student.

Date

Parents/ Guardian Signature

Name