Application Form 303228
Application Form 303228
Application Form 303228
2023-2025
APPLICATION NO. : 303228
Program Details
No. Of Courses You Want To Apply For? One Program
Program Preference 1 PGDM
Program Preference 2
Program Preference 3
Program Preference 4
Your preferred mode of interview
Centre If In-Person Interview Mumbai
Personal Details :
First Name Vedant Middle Name
Last Name Pandya Full Name Vedant Pandya
Registered Email [email protected] Registered Mobile Number +91-8758905552
Alternate Mobile Number +91-8107961950 Date Of Birth 21/12/2000
Gender Male Category General
Are You Of Goan Domicile Origin ? No
Address Details :
Is permanent address same as address for communication? No
Correspondence Permanent
Address Line 1 House No. 1301, 13th Floor, D-Block, Aryan Gloria Flat Vedant Medical Store, Near Bus Stand, Dhambola
Address Line 2 Gala Gymkhana Road, South Bopal, Bopal, Ahmedabad Dhambola
City Name Ahmedabad Dungarpur
District Name Ahmedabad Dungarpur
State Name Gujarat Rajasthan
Country Name India India
Pincode 380058 314402
Educational Details
Class X Class XII Diploma
Institute/School Name Indian Public School, Simalwara Central Public School, Udaipur
Rajasthan Board Of Secondary Central Board Of Secondary
Board
Education Education (CBSE)
Specialization - Science
Year of Passing 2015 2017
Marking Scheme Percentage Percentage
Obtained Percentage / CGPA 87 58
Graduation Details
Graduation
Graduation Completed Completed
Stream Of Graduation Engineer
Branch Of Engineering Graduation Computer Sc./IT
Graduation State Gujarat
Graduation Board / University Parul University, Gujarat
Graduation College Parul University, Gujarat
Mode Of Graduation Regular
Other Qualification? :
Work Experience
Do You Have Full-Time Work Experience After Graduation? Yes
1. 2. 3. 4. 5.
Organization Name Techforce Global
Associate Software
Designation
Engineer
Start Date 01/12/2021
End Date 26/06/2022
Duration (In Months) 7
Last Annual
3
Salary(in Lakhs)
Total Work Ex (In
7
Months).
Achievers Round
Do You Wish To Provide Details Of Your Achievement? No
Achievement 1
Achievement 1 : Represented Your
Please Give Details Of The Achievement 1
Achievement 2
Achievement 2 : Represented Your
Please Give Details Of The Achievement 2
Achievement 3
Achievement 3 : Represented Your
Please Give Details Of The Achievement 3
Father's Details :
Father's Name Mr Mehul Pandya
Education Qualification M.A(Hindi), B.Ed Occupation Government Sector
Name Of Company Or
1st Grade Teacher Mobile Number +91-9672158024
Organisation
Mother's Details :
Mother's Name Mrs Shilpa Pandya
Educational Qualification Bachelor of Commerce Occupation Homemaker
Name Of Company/ Organisation Mobile Number +91-8107961950
Guardian's Details :
Guardian's Name
Educational Qualification Occupation
Name Of Company/ Organisation Mobile Number
Upload documents :
Declaration :
I hereby declare that the particulars given in this application form are true and correct, and they will be supported by original documents
when asked for. I am also fully aware that in the event of any information being found incorrect or misleading, my candidature shall be liable
to cancellation by the Institution at any time. Any dispute concerning Admissions to GIM would be subject to Jurisdiction of the competent
Courts within the territorial jurisdiction of Panaji only.
I agree to receive SMS from GIM, Goa on my registered mobile number.
I understand that my CAT details will not be considered for the admission process if the application fee amount is paid after 20th December
2022.
Applicant Name Vedant Pandya Parent Name Mehul Pandya Date 18/11/2022
Signature