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AICAR BUSINESS SCHOOL Damat, Neral, Karjat (Taluka), Raigad (Dist.), Maharashtra - 410 101 Tel.: (02148) 202687-90 Fax: (02148) 202690 E-mail: [email protected] www.aicar.net ________________________________________________ PHOTO APPLICATION FOR ADMISSION PGDM (Full-Time) PROGRAMME Post Graduate Diploma in Management Approved by AICTE, Government of India 1. Personal Information First Name Middle Name Last Name ______________________ ______________________ _______________________ Date of Birth ____________ Place of Birth ___________ Male Female Category: Gen OBC SC/ST 2. Contact Information Present Address___________________________________________________________ ________________________________________________________________________ Permanent Address________________________________________________________ _______________________________________________________________________ Telephone _________________ Mobile_________________ e-mail_________________ 3. Family Information Father’s Profession Name (pls. specify) Mother’s Profession Name (pls. specify) Brother / Details Sister 4. How do you intend to finance your studies? Personal Finance Bank Loan 5. Education Name of Marks Major College Year Institution/University % Subjects S.S.C H.S.C Graduation Post Graduation Others (Specify) 6. Test Information ______________________________________________________ Year Score Percentile CAT XAT AIMET MAT CET OTHERS 7. Any scholarships, awards, prizes obtained or examinations attempted: No Year Name of Institution/University Details 1 2 3 8. Specialisation Preference Insurance & Financial Services Marketing Management Management Human Resource Management Communication Management 9. Sporting activities and hobbies: Year Description of activity / hobby Awards received, if any 10. Languages Spoken _______________________________________________ 11. Experiences with Computer Programmes (Specify which) ________________ _________________________________________________________________ 12. Employment History A) Experience From To Position Company & Achievements (Year) (Year) Location B) Part time / summer experience / other exposures Employer Location Exposure Date (Period) 13. What are your career aspirations and how can AICAR Business School help you to achieve them? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 14. Provide a candid assessment of your strengths and weaknesses. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 15. Is there any other information you believe will help us understand you better? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 16. How did you come to know of AICAR Business School? Press* Road Show* Reference* Website* Others* * Please specify ________________________________________________________________________ Place_____________________ Date_____________________ Signature___________________ Filled in Application Form should be sent along with a Demand Draft (DD) of Rs.1200 in favour of "AICAR Business School" payable at Mumbai to our Mumbai address given below: AICAR Business School A-101, Vintage Pearl, 29th Road, TPS-III, Bandra (West), Mumbai – 400 050, India. Tel : 022-26552531/32 Fax : 022 – 26552529 E-mail: [email protected] OR [email protected] For Office Use Demand Draft No.________________ Date_______________________ Amount_________________________________________________________________ Bank_________________________________ Branch______________________ .

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Current a Pplication Number Institute Name Insti Address Insti State Insti Website 1-396060382 Maeer's Mit School of Management
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