XAT/CAT/CMAT/MAT Roll No -------------(Tick whichever is applicable)

Application No -------------------Name:.
Checklist for applicants appearing for GD and Interview: PGDM 2015 -17
Applicant is required to go through the checklist given below, check the box against each item as
applicable.
THIS CHECKLIST TOGETHER WITH PHOTOCOPIES OF RELEVANT DOCUMENT
SHOULD BE STAPLED TOGETHER SECURELY. THESE PAPERS AND THE ORIGINALS
(SEPARATELY) SHOULD BE PRODUCED BEFORE THE START OF THE INTERVIEW.
1. XAT/CAT/CMAT/MAT Score Card
(Tick whichever is applicable)
2. Mark sheets of 10th standard, 12th standard (+2) and / or Degree attached.
In case of Degree, mark sheets of each year/semester as the case may be,
must be produced. (If Degree exams are not completed, or the mark sheets
for the final year/semester is not received, all the previous mark sheets
up to the completed year/semester should be produced.)
3. For the mark sheets mentioned in para 2, calculate aggregate marks
Including languages (In case of Degree, if the final year/semester mark
Sheet is not received calculation must be made taking all subjects and
Languages of the previous years/semesters.
4. Other Professional courses of 1 year or more from recognized Institution.
Certificate attached.

10th
12th

Y/N

Degree

Y/N

10th
12th
Degree

Y/N

%
%
%

Y/N/NA

5. Certificates on significant achievements:

a.
b.
c.
d.
e.

Rank in University/State
NTSE and other scholarship
Debates, quizzes, competition, cultural events
Sports, Games
NCC/NSS

6. Work experience, letter of appointment or service certificate.

Period from

to

Period from

to

Note: For items 5(a) and 5(d) certificates are to be submitted only if you have I, II or III positions.

Signature of the Applicant

GD/PI Centre:

Date:

Time: