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Personal Details Form PGPM - PGP-HRM - Pgp-Im 2013-15

1. The document is a personal details form for an MBA program at the Management Development Institute in Gurgaon, India. 2. It requests information such as the applicant's name, date of birth, address, academic qualifications, work experience, extracurricular activities, and a declaration agreeing to the terms of the application. 3. The form asks for details like degree programs and institutions attended, marks/grades obtained, work experience including organization name, designation, period of employment, and annual salary.

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Nimish Deep
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51 views2 pages

Personal Details Form PGPM - PGP-HRM - Pgp-Im 2013-15

1. The document is a personal details form for an MBA program at the Management Development Institute in Gurgaon, India. 2. It requests information such as the applicant's name, date of birth, address, academic qualifications, work experience, extracurricular activities, and a declaration agreeing to the terms of the application. 3. The form asks for details like degree programs and institutions attended, marks/grades obtained, work experience including organization name, designation, period of employment, and annual salary.

Uploaded by

Nimish Deep
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

MANAGEMENT DEVELOPMENT INSTITUTE, GURGAON PERSONAL DETAILS FORM FOR PGPM/PGP-HRM/PGP-IM 2013-15 Please fill in Block Letters

CAT REG NO:......................................................................................................... Name (as per X class certificate):................................................................................. Fathers Name:. Mothers Name:.... INTERVIEW: DATE ............................................ TIME:.............................................. VENUE CITY: ............................................................... PANEL. Passport Date of Birth D D M M Please tick () wherever applicable Female Indian Mailing Address Male NRI Y Y Y Y Single PI PIO Yes No, if Yes, Passport No:- ..

Paste a passport size photograph in the space provided

Married Foreign National

City State

Academic Qualification Qualification Name of the Institution/Professio nal Body State / UT Secondary School (X) Sr. Secondary School (XII) Graduate

Name of the Board / University

Year of Completion

Marks (%) or CGPA

Degree with Discipline

Degree
Post-Graduate Degree Professional Degrees

Work Experience (Furnish details of full-time jobs starting fi rst with the present job (excluding training periods) engaged in, after completion of Bachelors Degree) (use a separate sheet if required) Name of organization Designation of the Person Reporting to Period from To dd/mm/yy Emoluments per annum (in Rs. Lacs) Turnover of Organization (in Rs. Lacs)

Designation

Nature of Duties

Total Experience

as on 31 December 2012

st

YEARS

- MONTHS

Academic/Professional Awards/Medals/Prizes/Scholarships/Certificate/Honours, etc. (Excluding those for extra-curricular activities) Name of the Award Awarding Institution Level (State/National) Basis of Award Year

Major Extra-Curricular Activities/Hobbies Activity Role Level (State/National) Year From To Honours (if any) Remarks

Declaration All entries made in this application from are true to the best of my knowledge and belief. I am willing to produce original certificates in support thereof if asked to do so at any stage. I agree to abide by decisions of Management Development Institute, Gurgaon on all matters regarding this application. PLACE

DATE D D M M Y Y Y Y (Signature)

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