Scribd
Upload
113 views2 pages

Application Form: PGDM (ABM) - 2019-21 Admissions at MANAGE

This document is an application form for MANAGE's PGDM (ABM)-2019-21 admissions program. It requests personal details of the candidate such as name, date of birth, gender, category, family income. It also asks for contact details, educational qualifications, work experience, extracurricular activities and a list of enclosures. The candidate must sign a declaration that the information provided is true and incomplete forms will be rejected. The application fee is non-refundable and all disputes will be subject to Hyderabad High Court jurisdiction.

Uploaded by

Vishnuvardhan Ravichandran
Copyright
© © All Rights Reserved
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
113 views2 pages

Application Form: PGDM (ABM) - 2019-21 Admissions at MANAGE

This document is an application form for MANAGE's PGDM (ABM)-2019-21 admissions program. It requests personal details of the candidate such as name, date of birth, gender, category, family income. It also asks for contact details, educational qualifications, work experience, extracurricular activities and a list of enclosures. The candidate must sign a declaration that the information provided is true and incomplete forms will be rejected. The application fee is non-refundable and all disputes will be subject to Hyderabad High Court jurisdiction.

Uploaded by

Vishnuvardhan Ravichandran
Copyright
© © All Rights Reserved
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
You are on page 1/ 2

PGDM (ABM)-2019-21 Admissions @ MANAGE

APPLICATION FORM
Affix recent
passport
photograph here

CANDIDATE’S PERSONAL DETAILS


Name (in capital letters)
Date of birth as in 10th class or Day Month Year
Equivalent certificate

Gender() Male Female

Category () GEN OBC SC ST KM

Whether Physically disabled () YES NO

Name of Father

Occupation of Father

Name of Mother

Occupation of Mother
Annual Income of Family (Rs.)
(For claiming reservation under OBC,
attach latest OBC category-non creamy
layer and also attach latest income
certificate from competent authority)

POSTAL ADDRESS FOR CORRESPONDENCE

Address Line1

Address Line2

City

State

Pin Code

Telephone No. (with STD Code)

Candidate’s Mobile No.

Email Address

Father’s Mobile No.

Attested copy of CAT- 2018 Score Card must be received at MANAGE latest by
31ST January, 2019
EDUCATIONAL QUALIFICATIONS

Examination Subjects Year of Aggregate Name of the


Pass % Marks Board/ University
1.SSC/Equivalent

2.Intermediate/
Equivalent

3.Degree

Mention OGPA / CGPA in Graduation on a scale (if applicable)

Graduation Stream (Write the stream you belong to i.e.,


A. Agriculture and allied sciences B. Humanities, Social Sciences,
Commerce etc. C. Pure Sciences, Engineering and others)

4.Post Graduation

WORK EXPERIENCE

From (Date) To (Date) Organization & Post

DETAILS OF EXTRA CURRICULAR ACTIVITIES

APPLICATION FEE

Application fee (Rs.): D.D No. & Date: Bank/Branch Name:

LIST OF ENCLOSURES (Attested)


1. Proof of age (SSC Certificate, Marks Report) 2. XII Class Marks Sheet 3. Graduate/Post
Graduate (Provisional, Marks Sheet/Transcript, Migration & Conduct certificate) 4. Presently
Studying in Degree/PG (All semester reports from first to latest semester, Bonafide & Conduct
Certificate from the institution last attended) 5. Category Certificate - SC/ST/PH/KM/OBC
Non-Creamy Layer (if applicable) 6. Income Certificate 7. Proof of Employment (Service
Certificate, Appointment Letter, first month & latest salary slips) 8. Demand Draft

DECLARATION BY CANDIDATE
I hereby certify that all the information furnished above is correct to the best of my knowledge and
belief. Furnishing of any false information will automatically lead to disqualification of my
candidature and forfeiture of all payments made by me.

Date: Place: Signature: Name:


(In Capital Letters only)
INSTRUCTIONS FOR THE CANDIDATES
i) Incomplete application form will be summarily rejected. ii) Application fee is not refundable. iii)
All the disputes regarding PG Programme shall be subject to the jurisdiction of Hyderabad High
Court, India. iv) For OBC reservation, the Govt. of India norms are followed. v) Preserve a
photocopy of application form for your reference.

You might also like