International Management Institute Information Form: (To Be Submitted at The Time of Interview For PGDM/PGDM-HR)

INTERNATIONAL MANAGEMENT INSTITUTE
Information Form
(to be submitted at the time of interview for PGDM/PGDM-HR)
Personal Data
Name: (Please attach a recent

passport size
photograph)
Permanent Address: Mailing Address:
Father’s/ (a) Name:

Guardian’s
(b) Profession:
B. History of Educational Career: (Please start with the most recent. Please include High School also)
Course/ Percentage /
Institution From To Subjects
Degree CGPA
Scholarships, Distinctions, Prizes, etc.

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Extra Curricular Activities (List in order of your participation.)
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Explain break, gaps, if any, in educational career:
_____________________________________________________________________________________
______________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
C. Academic Performance: (Please check with your original records and make sure of the accuracy of entries)
CLASS X
Year: School:
Subjects Your Marks Max. Marks
English
Mathematics
TOTAL
CLASS XII
Year: Institution:
English
Mathematics
TOTAL
GRADUATION/POST GRADUATION
Year: Institution:
TOTAL ( up to most
recent result)
D. State briefly what you consider your strengths and limitations:

______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
E. Briefly describe an experience in your personal life and show how it contributed to your
development.
_________________________________________________________________________________________
______________________________________________________________________________________
F. Work Experience: (To be filled in by those who claim Industrial/Business/Government experience. Start
with the most recent)
History of Work Experience

Title/Job Institution From To To whom do you Salary and
report allowance
Briefly describe the nature of your responsibilities in your present/most recent job.
____________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
G. Tell us about your media consumption habits
a) Are you on Facebook ? Yes / No
b) Do you visit PaagalGuy ? Yes / No
c) Do you visit MBA Universe ? Yes/No
d) Name other online platforms you visit
e) Did you see any of our advertisements in newspapers /magazines ? Yes/ No.
If yes , please name the publications.
_________________________________________________________________________________________
f) On an average how much time do you spend online daily ?
_________________________________________________________________________________________
g) On an average how much time do you spend reading newspapers daily ?
_________________________________________________________________________________________
H. Please give names and addresses of three persons from whom we may request a reference if needed:
(Such persons may be your professors or immediate superiors, under whom you have worked, please do not
enclose testimonials.)
1. 2. 3.
I. Please give any other information about you which you feel would be relevant for consideration of the
Admission Committee.
______________________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Place: ___________ Date: _____________________ (Signature of Applicant)

International Management Institute Information Form: (To Be Submitted at The Time of Interview For PGDM/PGDM-HR)

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International Management Institute Information Form: (To Be Submitted at The Time of Interview For PGDM/PGDM-HR)

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INTERNATIONAL MANAGEMENT INSTITUTE

Name: (Please attach a recent

Permanent Address: Mailing Address:

Father’s/ (a) Name:

Scholarships, Distinctions, Prizes, etc.

Extra Curricular Activities (List in order of your participation.)

D. State briefly what you consider your strengths and limitations:

History of Work Experience

G. Tell us about your media consumption habits

a) Are you on Facebook ? Yes / No

b) Do you visit PaagalGuy ? Yes / No

c) Do you visit MBA Universe ? Yes/No

d) Name other online platforms you visit

f) On an average how much time do you spend online daily ?

g) On an average how much time do you spend reading newspapers daily ?

Place: _ Date: ___________ (Signature of Applicant)

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