PGDM-PT

Personal Information
Address of Correspondence
Permanent Address
If address is same as above.
Workplace Address

Educational Qualification (Please give the aggregate percentage obtained ):

Year of Passing Main Subjects Name of School/College/University Place/City Percentage
Others: Other academic Degrees/ Master degree/Diplomas (Please specify).

Work Experience: (Don’t include work experience which is part of your degree requirement) Begin with the current job/ assignment / enterprise

Organisation Place Nature of Work From Day/Month/Year To Day/Month/Year
Total Experience in Years and Months (Numerics):

Declaration

(Submitted to Goa Institute of Management , as required for the admission to PGDM-PT)

I, the undersigned, solemnly affirm that:

  1. I have a degree recognized by UGC/ AIU/ AICTE.
  2. I have at least 50% aggregate marks at graduation.
  3. Note: You are requested to carry your letters/certificates/documents, during the admission proccess
    1. 10th:
    2. 12th / Diploma:
    3. Graduation:
    4. Post-Graduation:
    5. Professional Degree/ Diploma:
  4. Note: You are requested to carry your letters/certificates/documents, during the admission proccess.
  5. Any other relevant information :

I certify that the information given on the Application Form is true to the best of my knowledge and belief.

Date: 15-04-2021