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Irma 5327

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Form No: 53270

INSTITUTE OF RURAL MANAGEMENT ANAND


Application Form 2024
*53270*
Payment Particulars
Mode of Payment Date Amount Transaction ID.
Payment Gateway
Online - 27-12-23 2000 PRM-PUB-34301

1. Full Name of Applicant: SACHIN KUMAR

2. Address 57 MALRA SARAI PO LAWAN


MAHENDERGARH
HARYANA
Postal Code: 123029
Email: [email protected]
Alternate Contact No.:
Mobile: 8307483561

3. Date of Birth: 07-09-2000


4. Gender: Male
5. Marital Status: Unmarried
6. Spouse`s Name:
7. Mother Tongue: Hindi
8. Category: OBC (Non Creamy) 9. Is Person with Disability?: No
10. Education status: Completed Graduation
11. Discipline: Arts
12. Percentage (10th): 68.4 13. Percentage (12th): 91
14. Percent at Graduation: 56.33 15. Grad. Course Years: 3
16. Programme applied for: Post Graduate Diploma in Management (Rural Management)
17. State of Domicile: Haryana
18. Academic Details
Exam / Degree Year of Name of School/ Inst./Uni. Month - Year Marking Marks Maximum Percent
Passing Scheme Obt. Marks
Obtainable
10th 2016 sainik school rewari central May-2016 CGPA 7.2 10 68.40
board of secondary
education other

HSC Arts 2018 tagore senior secondary May-2018 Percentage 455 500 91.00
school mahendergarh
central board of secondary
education other
BA 2021 atma ram sanatan Aug-2018 Sep-2021 CGPA 5.93 10 56.33
dharm college (new delhi,
delhi) university of delhi
19. CMAT Exam Details
Exam Registration No. Roll No. All India Rank Score

20. Work Experience


Employer Position From To Exp. In Months

21. Work Experience: 0 month(s) (as on 30-09-2023)


22. Personal Interview Mode Preference : Offline
(IRMA reserves the right to change and/or cancel any Personal Interview centre or the mode of the Personal Interview)
23. Offline Interview Location Preference 1 : Delhi
24. Offline Interview Location Preference 2: Bhopal
25. CAT 2023 Reg. No.: 23125924
26. XAT 2024 Reg. No.: XAT24040974
27. Father's Name: Mr. Satyapal

28. Mother's Name: Mrs. Suman Devi

29. Father / Guardian`s Occupation: Farming (Full time)

30. Father/Guardian's Mobile :

31. Father/Guardian's Email:

32. Mother's Mobile:

33. Mother's Email:

34. Yearly Family Income: 1,00,001 to 2,00,000 (Parents` / Gaurdian's Income)


35. Applying for the Tuition Fee Waiver scheme: Yes
36. Aadhar Card Number: 517962513276
37. Participation in Sports/Extra-Curricular Activities?: None
38. Have you been part of any fellowships?: None
39. Special Achievements:
40. Languages Known: English Hindi
41. Hobbies: Cricket Enthusiast and Organic Vegetable Cultivation.
42. Source(s) of information about admission.
Instagram
43. Declaration
I certify that the information submitted to support this application is true and that any documents uploaded to support it are genuine. I will provide documentary
evidence, whenever necessary. I understand that if selected, my admission will be provisional; it will be confirmed only if I fulfil the eligibility criteria set for
admission to PGDM (RM) 2024-2026. I understand that if selected, My admission will stand automatically cancelled at any point during the course if I provide
false information in this form or if I fail to provide the necessary certificates / documents. There will be no refund of the fees paid by me. I understand that just
meeting eligibility requirements will not guarantee shortlisting for the next phase of admissions process 2024-2026. The entire admissions process at the Institute
shall be subject to the Jurisdiction of the Courts of Anand.

Date: 24-02-2024 Signature of Applicant:

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