Applіcatіon Form for Post Graduate Diploma in Management ...€¦ · Post Graduate Diploma in...
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Applіcatіon Form for Post Graduate Diploma in Management 2019 - 2021 Approved by AICTE Financial District, Gachibowli, Hyd-32. Tel: 040-23000005| E-mail: [email protected] | www.iirmworld.org.in Application No : Admission Test Appeared: CAT MAT GMAT Others Specify XAT ATMA Registration No : Score : Percentile : Permanent Address : City : State : Communication Address : Pin : Pin : City : State : Name : th (Name should be entered as in your Matriculation / 10 Class Certificate) Personal Details Date of Birth : Gender : Male Female DD / MM / YYYY Marital Status : Single Married Aadhaar No. E-mail Id : Contact No. : Father’s Name : Contact No. : Occupation : Organization : Approx. Annual Income: Mother’s Name: Contact No. : Father’s/ Mother’s E-mail Id: (Rs. Lakhs) CMAT (A Joint Initiative of IRDAI and Govt. of Telangana) A-A Recent Photo (Formals Only)
Transcript of Applіcatіon Form for Post Graduate Diploma in Management ...€¦ · Post Graduate Diploma in...
Applіcatіon Form for
Post Graduate Diploma in Management2019 - 2021 Approved by AICTE
Financial District, Gachibowli, Hyd-32. Tel: 040-23000005| E-mail: [email protected] | www.iirmworld.org.in
Application No :
Admission Test Appeared:
CAT
MAT
GMAT
Others Specify
XAT
ATMA
Registration No :
Score :
Percentile :
Permanent Address :
City : State :
Communication Address :
Pin :
Pin :City : State :
Name :th (Name should be entered as in your Matriculation / 10 Class Certificate)
Personal Details
Date of Birth : Gender : Male Female DD / MM / YYYY
Marital Status : Single Married Aadhaar No.
E-mail Id : Contact No. :
Father’s Name : Contact No. :
Occupation : Organization : Approx. Annual Income:
Mother’s Name: Contact No. :
Father’s/ Mother’s E-mail Id:
(Rs. Lakhs)
CMAT
(A Joint Initiative of IRDAI and Govt. of Telangana)
A-A
Recent Photo(Formals Only)
Work Experience (if any)
Application Registration Amount :
Date :
Place : Signature of Applicant
Company From To Designation
SSC / Matriculation / X Std.
Graduation / Degree
Experience (if any)
Intermediate / PUC / XII Std.
Score / Marks Card
Two Passport size Photographs
Cash / DD of Rs. 500/- to be drawn in favor of IIRM, Hyderabad
I have carefully read the instructions and agree to abide by the decision of Institute regarding my selection to program.
I certify that the information furnished in this application form is correct to the best of my knowledge and belief.
Declaration by the Applicant :
How did you come to know about IIRM
List of Enclosures : (Copy of Certificates)
Educational Details ( Starting with highest Qualification )
Qualification Board /
UniversityAggregatePercentage
Class /Division /
CGPA
Medium ofInstruction
Year
From To
Academic & other Distinctions / Achievements / Extracurricular Activities
1 Finance
2 Financial Services
3 Insurance
4 Actuarial Science
5 Risk Management
6 Health Insurance
7 Marketing
8 Analytics
Name of theSchool / College
Selection of Specializations : This is tentative and the student however will be given an opportunity to change during Semester - I
Students can opt for two specializations from among the following
A-B
