2016 B-School Placement

Application Form
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B SCHOOL NAME

Name of Applicant
Course
Specialization
College Roll No
Mobile Number
Permanent Number

First Name

Middle Name

Last Name

PGDM
General Management

DOB (DD/MM/YYYY)
Gender
Current CGPA
College Email Id
Personal Email Id

NA

0731-2439658

WORK EXPERIENCE (IF APPLICABLE). PLEASE DO LIST ALL ORGANISATIONS

S
No

Organiza
tion

Industry /
Domain

Start
Date
(MM/
YY)

End
Date
(MM/Y
Y)

No of
Months

Role

Supporting*
Documents

1
2
3
(* Service letter stating duration of employment on company letter head; Attach the document by inserting
it as an object)

If you have been employed with Cognizant (permanent /internship), please mention
your Cognizant Employee Id:
If you have participated in Cognizants The CXO Challenge contest, please mention
your aggregate score:

INTERNSHIP EXPERIENCE
S
No

Organization

Industry
/
Domain

Start
Date
(MM/
YY)

End
Date
(MM/YY)

No of
Months

Role

1
2
EDUCATION BACKGROUND
Level

PG (pre
MBA)

Discipline

Year
of
Passi
ng

Institute

Board /
University

Marks
(%)/
CGPA

2016 B-School Placement

Application Form
---------------------------------------------------------------------------------------------------------------------------------------------------------------

UG
XII
X

WORK PREFERENCES
Note:
1. Preferences cannot be construed as a commitment
2. Rank preferences for location in order of 1 to 9 (1 being most preferred)
3. Your final allocation will be based on business demand
Location Preference
Bangalore
Chennai
Cochin

Coimbato
re
Kolkata
Hyderaba
d
Pune
Delhi
Gurgaon

Profiles Interested (no order of

preference)
1. CBC
2. 3. 4. 5. 6. -

PLEASE MENTION CHRONOLOGICALLY (WITH MOST RECENT AS FIRST)

SIGNIFICANT ACHIEVEMENTS AND RECOGNITIONS RECEIVED AT STATE / REGION
/ NATIONAL / INTERNATIONAL LEVEL.

Statement of Purpose
Describe the situation when you thought outside the box and how did you implement
the idea? (250 words)