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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research ADMISSIONS TO THE

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

ADMISSIONS TO THE

PGDM PROGRAMS 2011-2013 AT MUMBAI AND BENGALURU CAMPUS

RECOGNISED BY AICTE, GOVT OF INDIA, NEW DELHI

Form No: XXXX

PART A

BY AICTE, GOVT OF INDIA, NEW DELHI Form No: XXXX PART A Personal Details 1. 2.

Personal Details

1.

2.

3.

Full Name: Affix recent XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Passport Size Date of Birth: colour
Full Name:
Affix recent
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Passport Size
Date of Birth:
colour photograph
Phone-022241415733
Program(s) applied for (in order of preference):
Preference 1:
Preference 2:
Preference 3:
Preference 4:
Preference 5:
Signature
Preference 6:
Preference 7:
Educational Qualification:
Class 10:
Passing Month and Year:
School:
Board/ University:
Percentage: Class:
GPA:
Grade:
Class 12:
Passing Month and Year:
College:
Board/ University:
Percentage: Class:
GPA:
Grade:
Graduate Degree:
Passing Month and Year:
College:
Board/ University:
Percentage: Class:
GPA:
Grade:
Post Graduate Degree:
Passing Month and Year:
College:
Board/ University:
Percentage: Class:
GPA:
Grade:

4.

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research 5 . Additional

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

5. Additional PG / Diploma:

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………………………………………………………………………………………………………………………………XXXXXXXX XXXXXXXXXXXXXXXXXXXXX XXXXXXXXXXX XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

6. Computer Proficiency: MS Word MS Excel MS Power Point MS Access XXXXXXXXXXX Internet Usage
6. Computer Proficiency:
MS Word
MS Excel
MS Power Point
MS Access
XXXXXXXXXXX
Internet Usage
Email Usage
None
Adobe creative suite
CorelDRAW
Google sketchup
7. If you are active on social networking media, mention your ids on
a. LinkedIn:
b. Facebook:
c. Twitter:
8. Work-Experience after graduation: 100
Total Months:50
Organisation: m
rganization01
Designation:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
From: Sept 2002 AN 30 2005
To: Nov 2006 JAN 30 2005 Months: 5010
Description of work: Handling the Reliance EPABX System. Maintaining the entire
the
Plant
0
Organisation:
rganization01
Designation:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
From: Sept 2002 AN 30 2005
To: Nov 2006 JAN 30 2005 Months: 5010
Description of work: Handling the Reliance EPABX System. Maintaining the entire
the lant
0
Organisation: R
rganization01
Designation:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
From: Sept 2002 AN 30 2005
To: Nov 2006 JAN 30 2005 Months: 5010
Description of work: Handling the Reliance EPABX System. Maintaining the entire
the
Plant
S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research 9. Work-Experience during

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

9. Work-Experience during graduation:

Organisation: rganization01 Designation: Nature of work: XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX From: Sept 2002 AN 30
Organisation:
rganization01
Designation:
Nature of work:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
From: Sept 2002 AN 30 2005
To: Nov 2006 JAN 30 2005 Months: 5010
Description of work: Handling the Reliance EPABX System. Maintaining the entire
the Plant
0
Organisation: R
rganization01
Designation:
Nature of work:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
From: Sept 2002 AN 30 2005
To: Nov 2006 JAN 30 2005 Months: 5010
Description of work: Handling the Reliance EPABX System. Maintaining the entire
th0
Father:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Occupation:
Highest Qualification:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Organization: Steel Authority of India X
XXXXXXXXXXXXXXXXXXXXXX
Designation: Manager
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Mother:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Occupation:
Highest Qualification:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Organization: N/A
XXXXXXXXXXXXXXXXXXXXX
Designation: N/A
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Sister/Brother:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX
Occupation: S
Highest Qualification:
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Organization: NMIMS NMIMSX XXXXXXXXXXXXXXXXXXXXX Designation: Student XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Sister/Brother: N/A XX

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Occupation:

XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX Organization: N/A XXXXXXXXXXXXXXXXXXXXXXX Designation: N/A X XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

Highest Qualification:

10.Family Background:

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research PART B Kindly

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

PART B Kindly handwrite your response. Do attach any extra sheets if required (Compulsory for all applicants)

11.State 3 of your strengths and weaknesses.

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12.What would you say are your hobbies or interests?

13.Mention the states traveled within India and countries traveled to outside India, if any

14.Mention your achievements, both academic/non-academic in the last 5 years.

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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research 15.Mention names of

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

15.Mention names of any 2 books you have read in the last 1 year.

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16.In not more than 75 words describe why you want to pursue Management Education.

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17.If there is anything you think we should know while we evaluate you, use the space below. However if we have captured everything through the form above, you may skip this question.

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research PART C1 (To

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

PART C1 (To be filled only by candidates applying to the PGDM E-BUSINESS program)

18.What interests you about the PGDM e-Business program at Welingkar?

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19.What according to you is the role of e-Business in today’s business scenario?

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20. Which of your qualities or personality traits will help shape a career in e- Business?

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21.What type of work/career do you aspire for – highlight sectors/verticals and job roles of your interest?

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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research PART C2 (To

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

PART C2 (To be filled only by candidates applying to the PGDM BUSINESS DESIGN program)

22.What interests you about the PGDM Business Design program at Welingkar?

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23.How do you think design thinking is related to Businesses?

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24.Describe in brief any creative work that you have done, cite as many examples as possible

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25.What type of work/career do you aspire for – highlight sectors/verticals and job roles of your interest?

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S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research PART C3 (To

S.P. Mandali’s Prin. L. N. Welingkar Institute of Management Development & Research

PART C3 (To be filled only by candidates applying to the PGDM RETAIL MANAGEMENT)

26.According to you, which of your personality traits will help you in shaping a successful career in the retail industry?

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27.Name any retail personality that you admire; either International or Indian, and why?

that you admire; either International or Indian, and why?

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28.If you were given the opportunity to open your own retail store, what kind of store will that be?

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29.In case you have worked in the retail industry before, what is the part of your job that you liked the most and why? What did you dislike the most and why?

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