Application Form

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Application Form


Program Applying For*:

  PGDM       MMS       PCP


Surname * :
Name * :

Father Name * :

Mother Name * :


Gender*:

 Male     Female


Date :
Month :
Year :

Nationality*:


Correspondence Address*:


Permanent Address*:


City*:

State*:

Pin*:


Home Telephone* :

Parent's Mobile* :

Student's Mobile* :

Emergency Contact* :


Student's Email Address* :

Parent's Email Address* :


Category* :

 Open     OBC     SBC     SC     ST     VJ/DT     NT1     NT2     NT3     Others   


Minority Community YES / NO ( If yes please submit the document at the time of admission:
1) Domicile of Maharashta State : YES / NO


Education Details

Sr. Course Board/ Name of Institute / University Year of Passing Marks Obtained % Grade
1 Post Graduation
2 Degree
3 HSC/ 12th
4 SSC/ 10th
5 Any Other

Entrance Exam Score Details

Sr. Course Year of Passing Score Ranking
1 CET
2 CAT
3 CMAT
4 MAT, XAT, ATMA
5 Any other test

1. Attach attested copy of CAT, CMAT, MAT, XAT, ATMA, GMAT score card.
2. Attach an affidavit in support of Hindi Linguistic Minority (if applicable).
3. Rest of the documents are to be submitted at the time of admission if you are selected.


Family Details

Relation Father Mother Spouse Brother/Sister
Name
Educational Qualification
Profession
Organisation
Designation
Annual Income

Local Guardian

Name Address Contact with STD Code E-mail ID

Work experience if any

Company Address Designation From - to Date Last Salary*

* Please provide Experience Certificate stating last drawn pay


How did you learn about this course

 Family     Friend     Educational Institution     Website     Newspaper     Hoarding   

Other Source (Please Specify):


Statement of purpose : Why do you want to pursue this course?

I hereby confim that the above furnished information is correct.
If at any stage the information provided by me is found incorrect / false, I understand admission may be cancelled.


Date:

Place:


Payment Type

Demand Draft
Online Payment

Demand Draft Details

Payable to ADITYA INSTITUTE OF MANAGEMENT STUDIES AND RESEARCH


Drawn on (Bank's Name)


Payable at

DD No.

Date


Amount (in figures)

Amount (in Words)