University of Mumbai

JAMNALAL BAJAJ INSTITUTE OF MANAGEMENT STUDIES

(Autonomous)
164, Dadabhai Naoroji House, H. T. Parekh Marg, Backbay Reclamation, Mumbai 400020.
Phone: 91- 022- 22747726 / 2274 7705 | www.jbims.edu | E-Mail: mscfin@jbims.edu

Application for Admission to

Master of Science (M.Sc.) Programme in Finance (2018-20)

For Office Use Only

Application
Remarks
Number
Photograph
Receipt Number

Date

Note: Please read the instructions carefully before filling the form.
1. Put a  in the blocks where applicable.
2. Brochure and application form fees is Rs.1500/- to be paid in cash or by pay order/ demand draft in favour of
“Director, JBIMS” payable at Mumbai.
3. The last date of submission of the application is June 08, 2018.
4. Attach photocopy of statement of marks of graduation and HSC, experience certificates, and where applicable
caste certificate and caste validity certificates.

The Director
Jamnalal Bajaj Institute of Management Studies,
University of Mumbai, 164, Dadabhai Naoroji House,
Backbay Reclamation, Mumbai 400 020.
1. Name of the Applicant (In Block Letter)

Shri/ Smt./ Kum.

(Surname) (First Name) (Father’s Name) (Mother’s Name)

2. Please Indicate Category

Other
Gen SC ST DT NT-B NT-C NT-D OBC SBC PH
(Specify)

Note: A candidate belonging to a category other than General Category must attach attested photocopies of the
caste certificate, case validity certificate and other documents as required by Government regulations.

3. Graduation Degree

Code University

Code Key
1 University of 2 University Within Maharashtra 3 University outside
Mumbai (Except Mumbai) Maharashtra
4. Gender (Male/ Female) _______________________________

5. Date of Birth (DD/MM/YYYY) _______________________________

6. Age (Year and Months) _______________________________

7. Educational Background

Educational Qualifications Year of % of Class/ Name of Board

Mark  in appropriate box Passing Marks Grade or University
A Undergraduate/ Diploma (Specify)

1 S. S. C./ S. S. L. C./ I. C. S. E.

2 H. S. C. / Pre-University

3 Intermediate

4 Polytechnic

5 Defence Service Diploma

B Bachelor’s / Master’s Degree

1 2 3 4 5 6
B. B. Other
B.A. B.Sc. B.E.
Com. Tech (Specify)

M. M. Other
M A. M Sc. M E.
Com. Tech (Specify)

C Ph. D.

8. Professional Qualifications

Name of
Year of % of Class/
Professional Qualifications Board or
Passing Marks Grade
University
Other
CA CS CMA CFA FRM AMI
(Specify)
9. Work Experience (till date)

A. Functional Area

Marketing Finance Personnel Production Other specify

1 2 3 4 5

B. Position Held:

Name and Address Of Length of Designation of Total Monthly

Organisation Service Nature of Work Emoluments
(Rounded to
Nearest Rs.)
From To

Present
Position

Last
Position

10. Professional Achievements:

Please list below any prizes, medals, awards, honour, recognition etc., which you have received at
any time in your academic or professional career:

Name of Award Purpose of Award Awarding Agency

11. Name and Address of the Applicant (IN BLOCK LETTER)

Name
Address

City PIN
E-Mail ID
Mobile Number

DECLARATION

I hereby declare that the information given in this application form is complete and true. If admitted,
I agree to comply with the rules of the Institute.

Place:

Date: (Signature of the Applicant)