Application Form: For Post Graduate Management Programmes

Application Form
for Post Graduate Management Programmes

Common for all Campuses
■ Incomplete forms will not be considered

■ Please keep a photocopy of the form, before submitting, as a ready reference
Please paste your
■ Please inform the Admission Office in case of any changes in the correspondence recent passport size
address or telephone no. photograph here
■ Candidates apply for all programmes. Selection to a particular programme is at the (3.5cm x 3.5cm)
discretion of the institute
■ Price of the Application Kit is ` 1,000/-
This form is applicable for the following programmes
I, Mr/Ms _______________________________________ am applying for the following programmes.
MBM Masters of Business Management

PGPM PG Programme in Management
(Validated Programme with Coventry University)
Family Background
Relation Name Qualification Occupation Designation Organisation
Father
Mother
Sibling
Sibling
Family income per annum (in ` Lakh):

Academic Record
Examination Marks
Year Stream Institution Board/University
Passed (% or CGPA)
XII
Graduation
Post Graduation
Others
Major Subjects (In case of more than one major please insert a comma between subjects)
Graduation
Post Graduation
Others
Test Scores
Test Regn. No./ID No. Score Percentage Percentile Coaching Centre
CAT
XAT
Others
Work Experience (If any)
Organisation Designation From (mm/yy) To (mm/yy)
1.
2.
3.
4.
Total work experience:
2 Application Form
Personal Information
Name: Mr/Ms
Date of Birth: Gender:

DD/MM/YY
Marital Status:
Correspondence Address
Address:

City: State:
Pin:
Phone: Mobile:

STD Code Number (Mandatory) (Mandatory)
Primary email id: ______________________________ Alternate email id: ______________________________
Permanent Address
Address:

City: State:
Pin:
Phone: Mobile:

STD Code Number (Mandatory) (Mandatory)
Primary email id: ______________________________ Alternate email id: ______________________________
Strengths: ___________________________________________________________________________________
Weaknesses: ________________________________________________________________________________
Achievements: _______________________________________________________________________________
Career Goals & Aspirations: _____________________________________________________________________
___________________________________________________________________________________________
Why are you seeking admission in Globsyn Business School. (Within 100 words)
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
3
References
Name: Mr/Ms
Organisation: Designation:

Relation with the Applicant:
Address:
Country: City: State:

Pin:

Phone:

Fax:

Mobile: email id: ________________________________________
Name: Mr/Ms
Organisation: Designation:

Relation with the Applicant:
Address:
Country: City: State:

Pin:

Phone:

Fax:

Mobile: email id: ________________________________________
Declaration
“I wish to apply for the post graduate programmes offered by Globsyn Business School (GBS). I have carefully read
the handbook, website and the fees structure and agree to abide by the same. I understand that the information
given are only indicative and that GBS reserves the right to change/modify the information, rules and regulations
from time-to-time and I agree to abide by the same. I agree to pay the fee as per the schedule of fee payment
stipulated. I understand that in case I withdraw from the programme, for reasons whatsoever, I will not be entitled to
claim any refund of amount paid to GBS. I hereby declare that the information provided by me in the Application is
true and correct to the best of my knowledge. My signature below certifies that I have read, understood and agree
to the academic content, rules and regulations and my financial responsibilities”.

Place: _____________________
Date: ______________________ Signature of Applicant
4 Application Form

Application Form: For Post Graduate Management Programmes

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Application Form

for Post Graduate Management Programmes

■ Incomplete forms will not be considered

This form is applicable for the following programmes

I, Mr/Ms _______________________________________ am applying for the following programmes.

MBM Masters of Business Management

Relation Name Qualification Occupation Designation Organisation

Family income per annum (in ` Lakh):

Test Regn. No./ID No. Score Percentage Percentile Coaching Centre

Work Experience (If any)

Organisation Designation From (mm/yy) To (mm/yy)

Total work experience:

Date of Birth: Gender:

Primary email id: ______________________________ Alternate email id: ______________________________

Primary email id: ______________________________ Alternate email id: ______________________________

Career Goals & Aspirations: _____________________________________________________________________

Country: City: State:

Country: City: State:

Date: ______________________ Signature of Applicant

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Primary email id: Alternate email id:

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