Serial No.

CODE:

GoG AMA Centre for International Trade

Affix Photo

Post Graduate Programme in International Business Management

(PGP-IBM) Batch VI : 2012 2014 APPLICATION FORM
SECTION A : PERSONAL DETAILS (1) Name: Mr. / Ms. [Use Capitals] (First Name) (2) Date of Birth: D (3) Contact Details: (a) Address Pin Code: (b) E-mail: (c) Mobile: (d) Landline: D M M Y Y Y Y (Fathers/ Husbands Name) (Surname)

(4) Permanent Address: Pin Code: (5) Home Phone: (6) Citizenship: 2 (9) Passport No. (If Any): 3

(7) Languages Known: (Mother tongue First) 1 (8) Marital Status: Married/Unmarried SECTION B : EDUCATIONAL QUALIFICATIONS (10) Academic Performance Qualification
Higher Secondary Graduation Post Graduation Professional Diploma/Degree

Stream/Faculty

Board/University

Year of Passing

Percentage Marks/Grade

(p.t.o.)

(11) (12) (13)

Appeared for CAT/MAT: YES Achievements in extra curricular activities: Other Professional Courses Attended:

NO

If Yes, Marks: (attach score sheet)

SECTION-C : WORK EXPERIENCE (14) Work Experience (Total Duration): Organization Designation Period fromto-

SECTION-D : OTHER INFORMATION (15) What is your career goal?

(16)

What are your expectations from the PGPIBM?

(17)

In case you are working, will you be sponsored by your present employer organization, if selected? Yes/ No/ Not Applicable

I confirm that the submission I have given on this application form is to the best of my knowledge, complete and accurate.

Signature Date Please attach: 1. 2. 2 Passport Size Photographs. Copy of degree certificate.

Serial No.:

GoG AMA Centre for International Trade

Affix Photo

Post Graduate Programme in International Business Management

(PGP-IBM) Batch VI : 2012 2014 ADMIT CARD

(1) Name: Mr. / Ms. [Use Capitals] (First Name)

(Fathers/ Husbands Name)

(Surname)