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    IIM Ranchi - IIMR

    Uploaded by

    Rachit Malhotra
    (1) The document provides instructions for completing a personal data form for admission to IIM Ranchi. (2) It notes that incomplete or false information will void the application and that the institute's decision is final. (3) Applicants are instructed to bring a printout of the completed form along with other documents to their personal interview and written analysis test.

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    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd

    IIM Ranchi - IIMR

    Uploaded by

    Rachit Malhotra
    109 views3 pages
    (1) The document provides instructions for completing a personal data form for admission to IIM Ranchi. (2) It notes that incomplete or false information will void the application and that the institute's decision is final. (3) Applicants are instructed to bring a printout of the completed form along with other documents to their personal interview and written analysis test.

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    IIM Ranchi _ IIMR

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    (1) The document provides instructions for completing a personal data form for admission to IIM Ranchi. (2) It notes that incomplete or false information will void the application and that the institute's decision is final. (3) Applicants are instructed to bring a printout of the completed form along with other documents to their personal interview and written analysis test.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    109 views3 pages

    IIM Ranchi - IIMR

    Uploaded by

    Rachit Malhotra
    (1) The document provides instructions for completing a personal data form for admission to IIM Ranchi. (2) It notes that incomplete or false information will void the application and that the institute's decision is final. (3) Applicants are instructed to bring a printout of the completed form along with other documents to their personal interview and written analysis test.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 3

    2/13/12

    IIM Ranchi IIMR

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    Instructions
    1. This form is a key part of admission process. Complete and accurate response to the items are, therefore, extremely important. Incomplete or false information will make your candidature null and void. 2. For letter grades or grade points instead of marks, provide equivalent marks. 3. In all matters relating to admission, the decision of the Institute will be final and binding on the applicants. No correspondence will be entertained from the applicant regarding his/her non-selection. 4. After submission of this form take a printout and bring it along with other testimonials when you will come for Personal Interview & Written Analysis Test (PI & WAT) process.

    Personal Data Form

    CAT Registration Number PERSONAL DATA Name Date of Birth Address for correspondence Pin Email ID Phone Mobile Annual Parental Income Rs. Nationality Category Phy. Handicapped Gender ACADEMIC QUALIFICATIONS Pre-Bachelor s Degree Examination (s)

    SR7515952 RACHIT MALHOTRA 23/03/1991 E-203 East of Kailash. New Delhi, Delhi. Pin-110065 110065 [email protected] 011-26483836 9717317277 1600000 Indian GEN None Male

    A. Fill only if a Board or a University Examination. B. Take into account only the marks in the subjects/papers which are counted for awarding class/division. Standard 10th 12th CBSE CBSE Board/University Year 2006 2008 500 500 Max Marks 453 436 Marks Obtained Class/ Division 90.6 87.2 % of Marks Obtained

    EDUCATIONAL BACKGROUND AGRI Degree Sought College/Institute Year From 1st Year August 2008 August 2009 August 2010 B.E. Netaji Subhas Institute of Technology Date To May 2009 May 2010 May 2011 1800 2200 1900 ARTS COMM Y ENGG SCI OTHERS Electronics and Communication University of Delhi

    Subject/Specialization University

    Marks considered for award of Class/Division in Bachelor s degree Max. Marks/GPA 1236 1508 1318 Marks/GPA Obtained 68.68 68.53 69.38 % of Marks Obtained

    2nd Year 3rd Year

    www.iimranchi.ac.in/6iims_admissions/printform.php

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    3rd Year 4th Year 5th Year August 2011 May 2012

    IIM Ranchi IIMR

    Overall percentage of marks obtained 68.86 Class / Division Obtained If you are appearing for the final year Bachelor s Degree examination, indicate the time of examination If you have already completed the Bachelor s Degree Examination, indicate month/year of completion Master s Degree / Post-Graduation / Professional Qualification (College/University/Institute attended) Year From 1st Year To Subject Max. Marks Marks Obtained % of Marks Obtained 5 2012

    2nd Year 3rd Year Overall percentage of marks obtained WORK EXPERIENCE (Do not include training, project work, work done as an integral part of curricular requirement, and part time work.) Organization Designation Year From To Monthly Remuneration (Rs.) Reasons for leaving

    Total work experience

    (in months) as on 31st Jan 2012

    * Please bring the total experience certificates and the copies of the all salary slips at the time of interview. EXTRA-CURRICULAR ACTIVITIES Please mention inter-collegiate, Institute and higher level activities only. These may include games and sports, cultural, literary and similar other activities. National/International Olympiad Scholarship Others NTSE Scholar Please furnish the details of ExtraCurricular Activities Got 99.2 percentile in eLitmus examination. Prefect of Annapurna house at school. Joint secretary IEEE-NSIT. Assistant secretary,Event Management- Innovision. Y Y State/District Intra-School/Intra College

    CO-CURRICULAR ACHIEVEMENTS Please mention inter-collegiate, Institute and higher level activities only. These may include games and sports, cultural, literary and similar other activities. National/ State Class Leader/ Council Leader/ Other Position of Responsibility Achievements in Co-Curricular Activities Please furnish the details of Co-Curricular Achievements Y Y Captain of NSIT football team. Won the college football league as a manager and as a player. Twice runners-up in inter class college tournament. Script writer and actor in dramatics society for street plays. Winners of three consecutive inter college street play competition. Got my poems published in school magazine and twice in newspapers. District/ University/ Inter-College Y Intra-School/ Intra College Y Intra-Class/ Department Y

    DECLARATION I have carefully read the instructions and agree to abide by the decision of the institute s authorities regarding my selection for the programme. I certify that the particulars given by me in this form are true to the best of my knowledge and belief. PLEASE EXAMINE THIS FORM ONCE AGAIN AND MAKE SURE THAT YOU HAVE COMPLETED ALL THE ITEMS Place Date Signature

    www.iimranchi.ac.in/6iims_admissions/printform.php

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