Application Form

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Form No.

ACCURATE

ACCURATE INSTITUTE OF MANAGEMENT & TECHNOLOGY


Approved by AICTE, Ministry of HRD, Govt. of India
Greater Noida, U.P.
Admission Form
Session 20..... - 20.....
Instructions for Filling the Application Form:

1. Fill up the application form in capital letters only.


2. Form should be complete in all respects.
Paste
3. All original certificates are to be produced at the time of admission. Photo
4. Incomplete application form will be rejected.
5. Paste your recent photograph in the space provided and sign across the photograph.

To
Admission office,
Accurate Institute of Management & Technology,
Greater Noida.

Sir/ Madam
I Wish to apply for admission in

2 year full time Post Graduation Diploma in Management:

First Name

Middle Name

Last Name

Gender Date of Birth


D D M M Y Y Y Y

Indian General OBC SC/ST Others

NRI

Please tick ( ) whichever applicable and (X) the not applicable


Mailing Address

Permanent
Address

City

State
Residence
Pin Code Contact No.
E-mail

Father's Name

Occupation Designation

Office Address

Mobile No.
Mother's Name

Occupation Designation
Office Address

Mobile No.

Academic Qualifications

Qualification Name of the Institution Name of the Year of Marks Degree with
Board/University Completion Obtained Stream Engg./Sc./
aggregate Commerce/Arts/
(%) etc.

Secondary
(X)

Sr. Secondary
(XII)

Graduation
Degree

Post-Graduation
Degree

Professional
Degree

* The candidate whose results are yet to be declared should mention the month and year of the result declaration in the space provided.
Any student who fails to submit the result the Institute has all rights to automatically cancel his /her admission.
Management Entrance Exams:- MANDATORY

Examination Date Reg./ Roll No. Composite Score Percentile

CAT
MAT
CMAT
XAT
ATMA
OTHERS

Any student who has not appeared for either of the exams above is not eligible to get admission in PGDM
Programme.

Academic/Professional Awards (Excluding those for extra-curricular activities)

Name of the Award Awarding Institution Level (State/National) Basis of Awards Year

Major Extra-Curricular Activities/Hobbies

Activity Role Level Year Honors


(State/National/School Level) (If any)

Work Experience (If Any)

Name of Organization Emoluments


Designation Period From Experience in
per annum
To Year(s) (InRs. Lacs)

Declaration

I Certify that all entries made in this Application Form are true to the best of my knowledge
and belief. I agree that the Admission Letter issued to me will be based on my merit, availability of seats and verification of my original
documents. I may be asked to do so at any stage during the course. I agree to abide by decisions of Accurate Education & Research
Society on all matters regarding this application form. I shall not pursue any other Full-Time programme from any other institution
/University, during the duration of my PGDM program.

Place
....................................
Date Signature of the Student
Answer these questions (Compulsory)

a. Why do you want to be a Management Professional?

b. Which area of Management interest you most and why so?

c. Do you like working in teams and how will you help your team mates ?

d. How do you think that PGDM programme will help you to be successful in Management Profession?

............................. FOR OFFICE USE ONLY .............................

Group Discussion

Topic: ............................................................................................................................................................................

Body Language : ............................../04


Flow of Language : ............................../04
Ideas/Concepts : ............................../04
Assertiveness : ............................../04
Group Dynamics : ............................../04
Total : ............................../20

Moderator’s Remarks:..................................................................................................... Moderator’s Signature

Personal Interview

Student’s Quality: ...........................................................................................................................................................

Communication Skill....................................................Management Aptitude ................................................................

Score: CAT/MAT/CMAT/OTHERS(50) ................................................ GD (20) ......................... Interview (20)..........

Academic Record(5) ................................................ Work Experience (5) ................ Total(100)..................

Special Remarks: ............................................................................................................................................................

Interviewer’s Name:................................................................................................ Signature of Interviewer

Final Result

Selected Wait List Not Selected

Remarks (if any): ................................................................................................. Signature of Interviewer

49, Knowledge Park-III, Greater Noida, UP- 201306, Toll Free No.-1800-180-3515, Fax No.-0120-2328266
[email protected], Website: www.accurate.in

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