Kohinoor Business School Application Form Post Graduate Diploma in Management: 2010-12

Kohinoor Business School
Centre for Management Research - Khandala
( AICTE Approved )
Application Form
Sample Form
Post Graduate Diploma in Management: 2010-12
Instructions:
1.
Please read the Application form carefully before filling. This form is an integral part of the admission process.
Admission granted on the basis of incorrect information will be ipso facto null and void.
2.
3.
Fill the application form in BLOCK LETTERS and in candidate's own handwriting.
The complete application form should reach Admission Office, Kohinoor Corporate Office,
Affix passport
Senapati Bapat Marg, Dadar (West), Mumbai - 400 028 at the earliest.
4.
size recent
Please enclose a photocopy of the CAT/XAT/MAT/ATMA/ MH-CET scorecard only and no other documents
color photograph
should be attached with the application form. If the scorecard is not available, please enclose a photocopy of
the admit card.
5.
Please note that incomplete application form will be rejected.
6.
Kindly attach a DD of Rs 1000/- with this application form in favor of “Kohinoor Business School & CMR”
payable at Mumbai.
7.
In all matters regarding admission to the program, the decision of KBSCMR will be final and binding on the
applicant. No correspondence from the applicant with respect to his/her non-selection will be entertained.
PGDM Choice
of specialization :
Marketing
Human Resource
Finance
Information Technology
International Business
Please indicate your choice in order of preference by marking 1, 2, 3, 4 in the boxes
Full Name
First Name
Gender
Male
Middle Name
Date of Birth
Female
Place of Birth
Category
Mother Tongue
Physically Challenged
E-mail id
Marital Status
Yes
No
Last Name
Single
If yes please specify
Open
Married
OBC
Nationality
SC
ST
E D U C AT I O N T R U S T
Current Address
City
State
Phone No.
Postal Code
Mobile No.
With Area Code
Permanent Address
City
State
Phone No.
Postal Code
Mobile No.
With Area Code
Father's / Mother's
Name
First Name
Occupation
Position Held
List some of your achievements ?
List your strengths and areas of improvement, if any
Middle Name
Organization
Last Name
Kohinoor Business School
Centre for Management Research - Khandala
( AICTE Approved )
Give a brief description of your career goals. Explain how this course would help you attain them ?
EDUCATIONAL DETAILS
Examination
Board / University Location
Passing
Year
Percentage
Academic Stream
S.S.C.
H.S.C.
Post Graduation
M.A / M.Sc. / M.Com /
M.Tech / Other
Please Specify
Other Examination
Please Specify
• Grade Points should be converted to percentage of marks
• Percentage should be computed after taking into account subjects/ papers that are being considered by the Board/University/Institute
• Candidates in the final year of Graduation/Post Graduation should indicate the aggregate marks obtained till the latest examination for which results are
available
• Candidates appearing for the final year degree examination will be given provisional admission subject to submission of final certificates by
30th Sept, 2010
FULL TIME WORK EXPERIENCE
Name of Company
Location
Duration in Months
Annual Salary
E D U C AT I O N T R U S T
Describe your present job profile and responsibilities
TEST TAKEN
Test
CAT
XAT
MAT
ATMA
MH-CET
Registration Number / ID No
Percentile Scored
GD/PI CENTER
• Agra • Ahmedabad • Bangalore • Bhubaneshwar • Dehradun • Delhi • Hissar • Indore • Jaipur • Jamshedpur
• Kanpur • Khandala • Kolkatta • Lucknow • Mumbai • Hyderabad • Chennai
Kindly indicate 2 centers of your choice in order of preference : Preference 1:
Preference 2:
Note : KBS reserves the right to change or cancel any centre at its discretion.
HOW DID YOU GET INFORMATION ABOUT KBS?
News Paper
Other
Seminar
Magazine
Mailer
Exhibition
Coaching Institute ________________
Please Specify
DECLARATION
1. I hereby declare that the information given by me is true to the best of my knowledge and
Applicant's Signature
belief. If at any stage it is found that I do not satisfy the admission criteria or the information
furnished by me is incorrect, my application to the course stands cancelled.
2. I have read and understood the rules and regulation with respect to admissions, fee for the
program (including government taxes if applicable), fee refund provided in the prospectus
and agree to abide by them. The decision of the institute will be final and binding.
All disputes pertaining to matters of admission and its terms and conditions are subject to Mumbai Jurisdiction.
Place
Date