Application Form For PGDFM 2017 - 2019 (Batch)

Personal Details
Applicant's Name *
Mr./Miss/Mrs.(as written in your CAT/XAT Application Form)
Preferred Wat/Interview Venue*
CAT Registration No.
Please enter either CAT Registration No./ XAT ID No
XAT ID No.
Father's Name *
Gender *
Differently Abled (Person with Disability)
    
Mother's Name *
Reservation Category*
Date of Birth *
Postal Address
Postal Address *
City *
State *
Pincode *
Telephone No.
Mobile No *
Primary Email *
Alternate Email
Qualification
Particulars
Board/University
Passing Year
Degree
% Marks Secured
S.S.L.C./High School *
Inter/Higher Secondary *
Graduation *
Post Graduation
Professional & other degrees
Work Experience (Work Experience If Any)
S. NO.
Name of Company and Address
Post
From Date
To Date
Year
1
2
3
4
5
Requisite Fees
Enclosures
Applicant Photo *
(50KB .jpg format only)
CAT/XAT Admit Card *
(100KB .jpg format only)
Signature *
(50KB .jpg format only)
Caste/DA Certificate
(100KB .jpg format only)
Declaration *
    I hereby declare that all the details given above are true, complete and correct to the best of my knowledge and belief. In the event of any information being found false or incorrect, I understand that my admission would stand cancelled without any further notice.