AICAR BUSINESS SCHOOL Damat, Neral, (Taluka), Raigad (Dist.), - 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

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 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______